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2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1760725683 M.D.
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Daniel Carlton, M.D.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Roseville, California.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 608 in Plastic Surgery within the Head & Neck (Otolaryngology) 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
467
Medicare Part D claims · 180 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 379
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68/100
▼ 15 pts below national avg 83.5 · Mid-tier
Industry payments
$320.08
3 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Daniel Carlton, M.D. reported a CMS MIPS final score of 68/100 - below the 83.5 national average - and filed 467 Medicare Part D claims in 2023.

68/100
MIPS score · -15 vs avg
467
Part D claims, 2023
93%
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.

Daniel Carlton, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

68 ≥ 8th percentile 8% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). This entry sits in this band. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

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

Where Daniel Carlton, M.D. sits

This provider among plastic surgery within the head & neck (otolaryngology) physician peers

Across the 144 plastic surgery within the head & neck (otolaryngology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Daniel Carlton, M.D. writes more Part D claims than 63% of them and scores higher on MIPS quality than 18% - placing this provider in the high-volume, lower-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 quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 85Daniel Carlton, M.D., Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 18
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one plastic surgery within the head & neck (otolaryngology) physician peer from a representative sample of 60; the gold marker is Daniel Carlton, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Daniel Carlton, 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 Daniel Carlton, M.D.?

Below national average

NPI registry status

Active

Issued 03/28/2013

NPI 1760725683

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

608 US NPIs in this specialty

Medicare Part D claims

467 23% vs specialty avg

2023 prescription claims

Specialty avg: 379

MIPS final score

68/100 15.5 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in California

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among California providers

California providers
Behavior Technician17.3%Marriage & Family Therapist5.5%Student in an Organized Heal…5%Mental Health Counselor3.9%Pharmacist3.5%Clinical Social Worker3.1%Plastic Surgery within the H…0%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Daniel Carlton, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average

Below national average
MIPS Final Score
68/100
vs 83.5 national avg · 2023 performance year

MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) - 68/100 vs national avg 83.5

0%100%National avg84%68%
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) - 68/100 vs national avg 83.5
How MIPS and board certification work

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).

Daniel Carlton, M.D. appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider holding M.D. credentials at 2 MEDICAL PLAZA DR STE 225, Roseville, CA, 95661, with a listed phone of (916) 736-3399. NPI 1760725683 was issued on 03/28/2013.

Medicare Part D records for calendar year 2023 show 467 prescription claims written by this provider, covering 180 Medicare beneficiaries and totaling roughly $40K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 6.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 68/100 for the 2023 performance year (Quality 56.1, Cost 37.7), compared with the 83.5 average among clinicians with a measured score.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 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

2 MEDICAL PLAZA DR STE 225
Roseville, CA 95661
(916) 736-3399

Provider Details

NPI 1760725683
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Credentials M.D.
Gender Male
NPI Issued 03/28/2013

CMS Quality Score (MIPS)

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

68.0479
Final Score
Measured-score avg: 83.5
56.1049
Quality
37.666
Cost
94
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Daniel Carlton, 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.

Sacramento Ear Nose And Throat Surgical And Medical Group Inc
Sacramento, CA

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 Daniel Carlton, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$320

Largest payer

Inspire Medical Systems, 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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Daniel Carlton, M.D.. To verify Daniel Carlton, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Daniel Carlton, M.D. - brand share 7.0%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician average

7% brand-name claims vs 93% generic, on 467 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.

467
Total Claims
$40K
Total Drug Cost
180
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
554
Total Day Supply
11,461
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$29K
Generic Drug Cost
$11K
Opioid Claims
29 (6.2% rate)
Antibiotic Claims
94

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.07
Gender Split
54% female / 46% male
Age Distribution
<65: 19, 65-74: 87, 75-84: 59, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

What Daniel Carlton, 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
Azelastine Hcl
 61
Ipratropium Bromide
 61
Mupirocin
 43
Prednisone
 42
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
41
Xhance
Fluticasone Propionate
29
Fluticasone Propionate
 26
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
23
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
22
Fluocinolone Acetonide Oil
 20

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

More Plastic Surgery within the Head & Neck (Otolaryngology) Physician in CA → All providers in California → Compare specialties →

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview

How Daniel Carlton, M.D. fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.

608
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
379
Avg Claims per Provider

Daniel Carlton, M.D.'s 467 claims are above the specialty average of 379.

Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in California

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

Dr. Sassan Alavi
M.D.
San Diego, CA
Dr. David Aroesty
MD
North Hollywood, CA
Dr. Ronaldo Ballecer
MD
Fresno, CA
Dr. Alex Battaglia
MD
San Diego, CA
Dr. Gary Bellack
MD
Los Angeles, CA

Compare Plastic Surgery within the Head & Neck (Otolaryngology) 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 California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Plastic Surgery within the Head & Neck (Otolaryngology) 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.

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Frequently Asked Questions

What is Daniel Carlton, M.D.'s specialty? ▼
Daniel Carlton, M.D. specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in Roseville, California. Credentials: M.D..
How much does Daniel Carlton, M.D. prescribe under Medicare Part D? ▼
In 2023, Daniel Carlton, M.D. wrote 467 Medicare Part D claims totaling $40K in drug costs for 180 beneficiaries.
What is Daniel Carlton, M.D.'s Medicare quality score? ▼
Daniel Carlton, M.D. has a CMS MIPS Final Score of 68/100 (Quality: 56.1, Cost: 37.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Daniel Carlton, M.D. located? ▼
Daniel Carlton, M.D. is located at 2 MEDICAL PLAZA DR STE 225, Roseville, CA, 95661. Phone: (916) 736-3399.
What is Daniel Carlton, M.D.'s NPI number? ▼
Daniel Carlton, M.D.'s National Provider Identifier (NPI) is 1760725683, issued on 03/28/2013.
Does Daniel Carlton, M.D. prescribe more brand-name or generic drugs? ▼
Daniel Carlton, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $29K in brand drug costs.
Does Daniel Carlton, M.D. prescribe opioids? ▼
Yes, Daniel Carlton, M.D. had 29 opioid claims in 2023 with an opioid prescribing rate of 6.2%.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US? ▼
There are 608 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 379 Medicare Part D claims per year.
What drugs does Daniel Carlton, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Daniel Carlton, M.D.'s most frequently prescribed drugs include Azelastine Hcl, Ipratropium Bromide, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Daniel Carlton, M.D. accept Medicare? ▼
Daniel Carlton, M.D. appears in CMS Medicare data with 467 Part D claims and 180 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Daniel Carlton, M.D.'s credentials? ▼
Daniel Carlton, M.D.'s NPI is 1760725683 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

View source datasets and methodology notes
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 editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.