2026 NPPES data Hospitalist Physician NPI 1235257668 M.D.
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Carlos Gadea, M.D.

Hospitalist Physician in Orlando, Florida. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,825 in Hospitalist Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 188 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$3.5K
143 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Carlos Gadea, M.D. reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 1,386 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
54%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Carlos Gadea, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

100 Top 7% higher than 93% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90+: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Carlos Gadea, M.D. sits

This provider among hospitalist physician peers

Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carlos Gadea, M.D. writes more Part D claims than 91% of them and scores higher on MIPS quality than 95% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 93Carlos Gadea, M.D.-Part D claim volume, percentile in specialty: 91 · MIPS quality, percentile: 95
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Carlos Gadea, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Carlos Gadea, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Carlos Gadea, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/26/2007

NPI 1235257668

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

1,386 56% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Hospitalist Physician compares to other specialties among Florida providers

Florida providers
Behavior Technician - 16.1%Behavior Technician16.1%Mental Health Counselor - 4.8%Mental Health Counselor4.8%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Pharmacist - 4.2%Pharmacist4.2%Student in an Organized Health Care Education/Training Program - 3.8%Student in an Organized Health Care Education/Training Program3.8%Physical Therapist - 3.1%Physical Therapist3.1%Hospitalist Physician - 0.3%Hospitalist Physician0.3%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

Carlos Gadea, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) - 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Hospitalist Physician) - 100/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Carlos Gadea, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 922 LUCERNE TER, Orlando, FL, 32806, with a listed phone of (407) 426-8660. NPI 1235257668 was issued on 03/26/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gadea most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,386 prescription claims written by this provider, covering 188 Medicare beneficiaries and totaling roughly $6.6 million in drug spend, split 46% brand-name and 54% generic by claim count, with an opioid prescribing rate of 9.0%. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

922 LUCERNE TER
Orlando, FL 32806

Provider Details

NPI 1235257668
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 03/26/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

100
Final Score
Avg: 83.1
92
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Carlos Gadea, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Thomas J Katta MD PA
Orlando, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Carlos Gadea, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.5K

Largest payer

Astellas Pharma US Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Florida FLDOH 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to Carlos Gadea, M.D.. To verify Carlos Gadea, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Carlos Gadea, M.D. - brand share 46.0%
Hospitalist Physician average

46% brand-name claims vs 54% generic, on 1,386 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,386
Total Claims
$6.6M
Total Drug Cost
188
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,870
Total Day Supply
50,325
Brand vs Generic
46% brand / 54% generic
Brand Drug Cost
$6.0M
Generic Drug Cost
$582K
Opioid Claims
125 (9.0% rate)
Antibiotic Claims
20

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
2.87
Gender Split
64% female / 36% male
Age Distribution
<65: 24, 65-74: 84, 75-84: 62, 85+: 18

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Carlos Gadea, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Eliquis
Apixaban
95
Tamoxifen Citrate
77
Anastrozole
73
Oxycodone Hcl
62
Abiraterone Acetate
49
Ondansetron Hcl
48
Prednisone
47
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
36
Gamunex-C
Immune Globul G/Gly/Iga Avg 46
34
Tecentriq
Atezolizumab
33

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hospitalist Physician Overview

How Carlos Gadea, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

Carlos Gadea, M.D.'s 1,386 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Gadea.

Compare Hospitalist Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Florida medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Hospitalist Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Carlos Gadea, M.D.'s specialty?
Carlos Gadea, M.D. specializes in Hospitalist Physician and practices in Orlando, Florida. Credentials: M.D..
How much does Carlos Gadea, M.D. prescribe under Medicare Part D?
In 2023, Carlos Gadea, M.D. wrote 1,386 Medicare Part D claims totaling $6.6M in drug costs for 188 beneficiaries.
What is Carlos Gadea, M.D.'s Medicare quality score?
Carlos Gadea, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carlos Gadea, M.D. located?
Carlos Gadea, M.D. is located at 922 LUCERNE TER, Orlando, FL, 32806. Phone: (407) 426-8660.
What is Carlos Gadea, M.D.'s NPI number?
Carlos Gadea, M.D.'s National Provider Identifier (NPI) is 1235257668, issued on 03/26/2007.
Does Carlos Gadea, M.D. prescribe more brand-name or generic drugs?
Carlos Gadea, M.D.'s prescribing is 46% brand-name and 54% generic drugs by claim count, with $6.0M in brand drug costs.
Does Carlos Gadea, M.D. prescribe opioids?
Yes, Carlos Gadea, M.D. had 125 opioid claims in 2023 with an opioid prescribing rate of 9.0%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does Carlos Gadea, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Carlos Gadea, M.D.'s most frequently prescribed drugs include Eliquis, Tamoxifen Citrate, Anastrozole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carlos Gadea, M.D. accept Medicare?
Carlos Gadea, M.D. appears in CMS Medicare data with 1,386 Part D claims and 188 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Gadea, M.D.'s credentials?
Carlos Gadea, M.D.'s NPI is 1235257668 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.