2026 NPPES data General Practice Physician NPI 1366502601 M.D.
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Efren Caratao, M.D.

General Practice Physician in Kent, Washington.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,677 in General Practice 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
3K
Medicare Part D claims · 182 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
88%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Efren Caratao, M.D. filed 2,976 Medicare Part D claims in 2023 as a General Practice Physician in Kent, Washington, prescribing 88% generic.

3K
Part D claims, 2023
88%
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.

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

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

2,976 Top 12% higher than 88% of 1,370,886 prescribers

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

Board certification likely (heuristic, not verified)

Efren Caratao, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Efren Caratao, M.D.?

Quality data not reported

NPI registry status

Active

Issued 12/09/2006

NPI 1366502601

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

2,976 4% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Washington

How General Practice Physician compares to other specialties among Washington providers

Washington providers
Mental Health Counselor - 8.6%Mental Health Counselor8.6%Massage Therapist - 6.5%Massage Therapist6.5%Counselor - 5.7%Counselor5.7%Behavior Technician - 4.5%Behavior Technician4.5%Pharmacist - 4%Pharmacist4%Physical Therapist - 3.6%Physical Therapist3.6%General Practice Physician - 0.2%General Practice Physician0.2%
Largest specialties in Washington (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for General Practice Physician. Verify directly:

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).

Efren Caratao, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at 10413 SE 244TH ST, Kent, WA, 98030, with a listed phone of (253) 852-2770. NPI 1366502601 was issued on 12/09/2006.

Medicare Part D records for calendar year 2023 show 2,976 prescription claims written by this provider, covering 182 Medicare beneficiaries and totaling roughly $242K in drug spend, split 8% brand-name and 88% generic by claim count.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

10413 SE 244TH ST
Kent, WA 98030

Provider Details

NPI 1366502601
Specialty General Practice Physician
Credentials M.D.
Gender Male
NPI Issued 12/09/2006

Hospital and facility affiliations

Facilities where Efren Caratao, 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.

Easthill Medical Clinic LLC
Kent, WA

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

License & disciplinary context - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Efren Caratao, M.D.. To verify Efren Caratao, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Efren Caratao, M.D. - brand share 8.0%
General Practice Physician average

8% brand-name claims vs 88% generic, on 2,976 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.

2,976
Total Claims
$242K
Total Drug Cost
182
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,089
Total Day Supply
209,831
Brand vs Generic
8% brand / 88% generic
Brand Drug Cost
$180K
Generic Drug Cost
$56K
Antibiotic Claims
47

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
1.54
Gender Split
42% female / 58% male

Top Prescribed Drugs (Medicare Part D)

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

What Efren Caratao, 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
Atorvastatin Calcium
199
Amlodipine Besylate
173
Lisinopril
154
Gabapentin
125
Metoprolol Succinate
122
Metformin Hcl Er
Metformin Hcl
89
Losartan Potassium
88
Tamsulosin Hcl
79
Hydrochlorothiazide
72
Lovastatin
71

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

General Practice Physician Overview

How Efren Caratao, M.D. fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

Efren Caratao, M.D.'s 2,976 claims are above the specialty average of 2,872.

Nearby General Practice Physician Providers in Washington

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

Compare General Practice 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 Washington medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby General Practice 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 Efren Caratao, M.D.'s specialty?
Efren Caratao, M.D. specializes in General Practice Physician and practices in Kent, Washington. Credentials: M.D..
How much does Efren Caratao, M.D. prescribe under Medicare Part D?
In 2023, Efren Caratao, M.D. wrote 2,976 Medicare Part D claims totaling $242K in drug costs for 182 beneficiaries.
Where is Efren Caratao, M.D. located?
Efren Caratao, M.D. is located at 10413 SE 244TH ST, Kent, WA, 98030. Phone: (253) 852-2770.
What is Efren Caratao, M.D.'s NPI number?
Efren Caratao, M.D.'s National Provider Identifier (NPI) is 1366502601, issued on 12/09/2006.
Does Efren Caratao, M.D. prescribe more brand-name or generic drugs?
Efren Caratao, M.D.'s prescribing is 8% brand-name and 88% generic drugs by claim count, with $180K in brand drug costs.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does Efren Caratao, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Efren Caratao, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Efren Caratao, M.D. accept Medicare?
Efren Caratao, M.D. appears in CMS Medicare data with 2,976 Part D claims and 182 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Efren Caratao, M.D.'s credentials?
Efren Caratao, M.D.'s NPI is 1366502601 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.
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.