2026 NPPES data Periodontics NPI 1811166838 D.M.D.
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CARLOS PRIA, D.M.D.

Periodontics in MIAMI, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
210
Medicare Part D claims · 153 beneficiaries · Periodontics avg: 264

What the federal data shows

CARLOS PRIA, D.M.D. filed 210 Medicare Part D claims in 2023 as a Periodontics in MIAMI, Florida.

210
Part D claims, 2023

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 PRIA, D.M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

210 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about CARLOS PRIA, D.M.D.?

Quality data not reported

NPI registry status

Active

Issued 02/23/2008

NPI 1811166838

Primary specialty

Periodontics

Mid-sized

6,061 US NPIs in this specialty

Medicare Part D claims

210 20% vs specialty avg

2023 prescription claims

Specialty avg: 264

Specialty distribution in Florida

How Periodontics compares to other specialties among Florida providers

Florida providers

Periodontics share within Florida

1. Periodontics42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Periodontics share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Periodontics (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Periodontics ABMS/AOA estimate

Est. board-certified rate (Periodontics) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Periodontics) — ABMS / AOA estimate

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 PRIA, D.M.D. appears in the CMS NPPES registry as a Periodontics provider holding D.M.D. credentials at 3601 FEDERAL HWY, MIAMI, FL, 33137, with a listed phone of (305) 576-6611. NPI 1811166838 was issued on 02/23/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PRIA 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 210 prescription claims written by this provider, covering 153 Medicare beneficiaries and totaling roughly $503 in drug spend. 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.

Periodontics is a mid-sized specialty nationwide, with 6,061 enrolled providers across 53 states and an average of 264 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

3601 FEDERAL HWY
MIAMI, FL 33137

Provider Details

NPI 1811166838
Specialty Periodontics
Credentials D.M.D.
Gender Male
NPI Issued 02/23/2008

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 PRIA, D.M.D.. To verify CARLOS PRIA, D.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.

Medicare Part D Prescribing Data

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

210
Total Claims
$503
Total Drug Cost
153
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
210
Total Day Supply
2,091
Brand Drug Cost
$0
Generic Drug Cost
$503
Antibiotic Claims
115

Patient Demographics

Average Patient Age
77.6 years
Avg HCC Risk Score
1.82
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

What CARLOS PRIA, D.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
Amoxicillin
94
Chlorhexidine Gluconate
71
Clindamycin Hcl
17

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

Periodontics Overview

How CARLOS PRIA, D.M.D. fits within the Periodontics landscape nationally.

6,061
Periodontics Providers in US
53
States with Periodontics
264
Avg Claims per Provider

CARLOS PRIA, D.M.D.'s 210 claims are below the specialty average of 264.

Nearby Periodontics Providers in Florida

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

Compare Periodontics nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLOS PRIA, D.M.D.'s specialty?
CARLOS PRIA, D.M.D. specializes in Periodontics and practices in MIAMI, Florida. Credentials: D.M.D..
How much does CARLOS PRIA, D.M.D. prescribe under Medicare Part D?
In 2023, CARLOS PRIA, D.M.D. wrote 210 Medicare Part D claims totaling $503 in drug costs for 153 beneficiaries.
Where is CARLOS PRIA, D.M.D. located?
CARLOS PRIA, D.M.D. is located at 3601 FEDERAL HWY, MIAMI, FL, 33137. Phone: (305) 576-6611.
What is CARLOS PRIA, D.M.D.'s NPI number?
CARLOS PRIA, D.M.D.'s National Provider Identifier (NPI) is 1811166838, issued on 02/23/2008.
How many Periodontics providers are there in the US?
There are 6,061 Periodontics providers across 53 states in the US. The average Periodontics provider writes 264 Medicare Part D claims per year.
What drugs does CARLOS PRIA, D.M.D. prescribe most often?
Based on 2023 Medicare Part D data, CARLOS PRIA, D.M.D.'s most frequently prescribed drugs include Amoxicillin, Chlorhexidine Gluconate, Clindamycin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLOS PRIA, D.M.D. accept Medicare?
CARLOS PRIA, D.M.D. appears in CMS Medicare data with 210 Part D claims and 153 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLOS PRIA, D.M.D.'s credentials?
CARLOS PRIA, D.M.D.'s NPI is 1811166838 with credentials D.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.
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