2026 NPPES data Family Medicine Physician NPI 1871579797 M.D.
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EDWARD CARRILLO, M.D.

Family Medicine Physician in ASHTABULA, 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
5K
Medicare Part D claims · 197 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
21.2779/100
▼ 62 pts below national avg 83.1 · [object Object]

What the federal data shows

EDWARD CARRILLO, M.D. reported a CMS MIPS final score of 21.2779/100 — below the 83.1 national average — and filed 5,141 Medicare Part D claims in 2023.

21.2779/100
MIPS score · -62 vs avg
5K
Part D claims, 2023
91%
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.

EDWARD CARRILLO, 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

21 3rd percentile higher than 3% 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%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

EDWARD CARRILLO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 EDWARD CARRILLO, M.D.?

Below national average

NPI registry status

Active

Issued 12/22/2005

NPI 1871579797

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

5,141 50% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

21.2779/100 61.82209999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Ohio

How Family Medicine Physician compares to other specialties among Ohio providers

Ohio providers

Family Medicine Physician share within Ohio

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

Medicare quality performance — MIPS

EDWARD CARRILLO, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
21.2779/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 21.2779/100 vs national avg 83.1

0%100%National avg83%21.3%
MIPS final score (Family Medicine Physician) — 21.2779/100 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).

EDWARD CARRILLO, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 5026 NORTH RIDGE WEST, ASHTABULA, OH, 44004, with a listed phone of (440) 969-1151. NPI 1871579797 was issued on 12/22/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARRILLO 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 5,141 prescription claims written by this provider, covering 197 Medicare beneficiaries and totaling roughly $383K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 12.0%. 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 21.2779/100 for the 2023 performance year (Quality 38.7353, Cost 19.152), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

5026 NORTH RIDGE WEST
ASHTABULA, OH 44004

Provider Details

NPI 1871579797
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 12/22/2005

CMS Quality Score (MIPS)

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

21.2779
Final Score
Avg: 83.1
38.7353
Quality
19.152
Cost
0
Promoting Interoperability

Reporting: Individual

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 EDWARD CARRILLO, M.D.. To verify EDWARD CARRILLO, M.D.'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 · Generic-heavy

EDWARD CARRILLO, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 5,141 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.

5,141
Total Claims
$383K
Total Drug Cost
197
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,551
Total Day Supply
279,932
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$266K
Generic Drug Cost
$101K
Opioid Claims
619 (12.0% rate)
Antibiotic Claims
176

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.30
Gender Split
49% female / 51% male

Top Prescribed Drugs (Medicare Part D)

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

What EDWARD CARRILLO, 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
Tramadol Hcl
301
Lisinopril
204
Atorvastatin Calcium
196
Amlodipine Besylate
171
Gabapentin
165
Hydrochlorothiazide
135
Metformin Hcl
130
Albuterol Sulfate Hfa
Albuterol Sulfate
129
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
129
Simvastatin
129

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

Family Medicine Physician Overview

How EDWARD CARRILLO, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

EDWARD CARRILLO, M.D.'s 5,141 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Ohio

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD CARRILLO, M.D.'s specialty?
EDWARD CARRILLO, M.D. specializes in Family Medicine Physician and practices in ASHTABULA, Ohio. Credentials: M.D..
How much does EDWARD CARRILLO, M.D. prescribe under Medicare Part D?
In 2023, EDWARD CARRILLO, M.D. wrote 5,141 Medicare Part D claims totaling $383K in drug costs for 197 beneficiaries.
What is EDWARD CARRILLO, M.D.'s Medicare quality score?
EDWARD CARRILLO, M.D. has a CMS MIPS Final Score of 21.2779/100 (Quality: 38.7353, Cost: 19.152). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWARD CARRILLO, M.D. located?
EDWARD CARRILLO, M.D. is located at 5026 NORTH RIDGE WEST, ASHTABULA, OH, 44004. Phone: (440) 969-1151.
What is EDWARD CARRILLO, M.D.'s NPI number?
EDWARD CARRILLO, M.D.'s National Provider Identifier (NPI) is 1871579797, issued on 12/22/2005.
Does EDWARD CARRILLO, M.D. prescribe more brand-name or generic drugs?
EDWARD CARRILLO, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $266K in brand drug costs.
Does EDWARD CARRILLO, M.D. prescribe opioids?
Yes, EDWARD CARRILLO, M.D. had 619 opioid claims in 2023 with an opioid prescribing rate of 12.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does EDWARD CARRILLO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDWARD CARRILLO, M.D.'s most frequently prescribed drugs include Tramadol Hcl, Lisinopril, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD CARRILLO, M.D. accept Medicare?
EDWARD CARRILLO, M.D. appears in CMS Medicare data with 5,141 Part D claims and 197 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD CARRILLO, M.D.'s credentials?
EDWARD CARRILLO, M.D.'s NPI is 1871579797 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