2026 NPPES data Medical Oncology Physician NPI 1558453977 MD, PHD
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DAVID CARBONE, MD, PHD

Medical Oncology Physician in COLUMBUS, Ohio. 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
187
Medicare Part D claims · 44 beneficiaries · Medical Oncology Physician avg: 689
Generic prescribing
39%
generic claims · 61% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.311/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$95.4K
92 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DAVID CARBONE, MD, PHD reported a CMS MIPS final score of 95.311/100 — above the 83.1 national average — and filed 187 Medicare Part D claims in 2023.

95.311/100
MIPS score · +12 vs avg
187
Part D claims, 2023
39%
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.

DAVID CARBONE, MD, PHD's MIPS score vs every scored U.S. clinician

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

95 Top 21% higher than 79% 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. 90–100: 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

Board certification likely (heuristic — not verified)

DAVID CARBONE, MD, PHD 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 DAVID CARBONE, MD, PHD?

High performer (top quartile)

NPI registry status

Active

Issued 09/30/2006

NPI 1558453977

Primary specialty

Medical Oncology Physician

Niche

3,792 US NPIs in this specialty

Medicare Part D claims

187 73% vs specialty avg

2023 prescription claims

Specialty avg: 689

MIPS final score

95.311/100 12.211000000000013% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Medical Oncology Physician compares to other specialties among Ohio providers

Ohio providers

Medical Oncology Physician share within Ohio

1. Medical Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Oncology Physician share within Ohio

Medicare quality performance — MIPS

DAVID CARBONE, MD, PHD's 2023 MIPS final score plotted against the Medical Oncology Physician national average

High performer (top quartile)
MIPS Final Score
95.311/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Oncology Physician) — 95.311/100 vs national avg 83.1

0%100%National avg83%95.3%
MIPS final score (Medical Oncology Physician) — 95.311/100 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).

DAVID CARBONE, MD, PHD appears in the CMS NPPES registry as a Medical Oncology Physician provider holding MD, PHD credentials at 300 W 10TH AVE FL 2, COLUMBUS, OH, 43210, with a listed phone of (614) 293-5066. NPI 1558453977 was issued on 09/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARBONE 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 187 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $1.8 million in drug spend, split 61% brand-name and 39% generic by claim count. 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 95.311/100 for the 2023 performance year (Quality 76.5856), compared with the national average of 83.1.

Medical Oncology Physician is a narrow specialty nationwide, with 3,792 enrolled providers across 53 states and an average of 689 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

300 W 10TH AVE FL 2
COLUMBUS, OH 43210

Provider Details

NPI 1558453977
Specialty Medical Oncology Physician
Credentials MD, PHD
Gender Male
NPI Issued 09/30/2006

CMS Quality Score (MIPS)

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

95.311
Final Score
Avg: 83.1
76.5856
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where DAVID CARBONE, MD, PHD 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.

OSU INTERNAL MEDICINE LLC
DUBLIN, OH

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 DAVID CARBONE, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$95.4K

Largest payer

Regeneron Pharmaceuticals, 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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to DAVID CARBONE, MD, PHD. To verify DAVID CARBONE, MD, PHD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

DAVID CARBONE, MD, PHD — brand share 61.0%
Specialty average (est.)

61% brand-name claims vs 39% generic, on 187 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.

187
Total Claims
$1.8M
Total Drug Cost
44
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
206
Total Day Supply
5,349
Brand vs Generic
61% brand / 39% generic
Brand Drug Cost
$1.8M
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
2.47
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What DAVID CARBONE, MD, PHD 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
Tagrisso
Osimertinib Mesylate
88
Prochlorperazine Maleate
25
Alunbrig
Brigatinib
13
Dexamethasone
12

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

Medical Oncology Physician Overview

How DAVID CARBONE, MD, PHD fits within the Medical Oncology Physician landscape nationally.

3,792
Medical Oncology Physician Providers in US
53
States with Medical Oncology Physician
689
Avg Claims per Provider

DAVID CARBONE, MD, PHD's 187 claims are below the specialty average of 689.

Nearby Medical Oncology Physician Providers in Ohio

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

Compare Medical Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DAVID CARBONE, MD, PHD's specialty?
DAVID CARBONE, MD, PHD specializes in Medical Oncology Physician and practices in COLUMBUS, Ohio. Credentials: MD, PHD.
How much does DAVID CARBONE, MD, PHD prescribe under Medicare Part D?
In 2023, DAVID CARBONE, MD, PHD wrote 187 Medicare Part D claims totaling $1.8M in drug costs for 44 beneficiaries.
What is DAVID CARBONE, MD, PHD's Medicare quality score?
DAVID CARBONE, MD, PHD has a CMS MIPS Final Score of 95.311/100 (Quality: 76.5856). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID CARBONE, MD, PHD located?
DAVID CARBONE, MD, PHD is located at 300 W 10TH AVE FL 2, COLUMBUS, OH, 43210. Phone: (614) 293-5066.
What is DAVID CARBONE, MD, PHD's NPI number?
DAVID CARBONE, MD, PHD's National Provider Identifier (NPI) is 1558453977, issued on 09/30/2006.
Does DAVID CARBONE, MD, PHD prescribe more brand-name or generic drugs?
DAVID CARBONE, MD, PHD's prescribing is 61% brand-name and 39% generic drugs by claim count, with $1.8M in brand drug costs.
How many Medical Oncology Physician providers are there in the US?
There are 3,792 Medical Oncology Physician providers across 53 states in the US. The average Medical Oncology Physician provider writes 689 Medicare Part D claims per year.
What drugs does DAVID CARBONE, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, DAVID CARBONE, MD, PHD's most frequently prescribed drugs include Tagrisso, Prochlorperazine Maleate, Alunbrig. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID CARBONE, MD, PHD accept Medicare?
DAVID CARBONE, MD, PHD appears in CMS Medicare data with 187 Part D claims and 44 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID CARBONE, MD, PHD's credentials?
DAVID CARBONE, MD, PHD's NPI is 1558453977 with credentials MD, PHD. 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