Gary Carlson, MD
Internal Medicine Physician · Newport Beach, CA
Gary Carlson, MD is an internal medicine physician with a practice address in Newport Beach, California, and NPI 1497700116, issued on May 23, 2006. Check the license (California G80564, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Gary Carlson
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- G80564 CA
Self-reported in NPPES; status is on the state search - Practice location
- 520 Superior Ave, Newport Beach, CA 92663
- Phone
- (949) 722-3300
- Enumerated
- May 23, 2006
- Record last updated
- Aug 10, 2011 (not updated in 15 years: call before relying on the address or phone)
- Fax
- (949) 548-9465
- Medicare enrollment
- Enrolled (PECOS I20070910000840); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 520 Superior Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Gary Carlson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license G80564Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.3 times the Medicare Part D claims of the average internal medicine physician in 2024
7,295 Medicare Part D claims for 533 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 13 claims were for opioids.
Most prescribed
- Atorvastatin Calcium447 claims
- Rosuvastatin Calcium390 claims
- Levothyroxine Sodium343 claims
- Lisinopril262 claims
- Losartan Potassium262 claims
- Amlodipine Besylate237 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 83 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,533.71
68 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Newport Medicine Group IncNewport Beach, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
94 internal medicine physician records list a practice address in Newport Beach
They are 94 of the 4,414 NPPES records with a practice address in Newport Beach, and 17,696 internal medicine physician records in California.
All 94 in Newport Beach → All 17,696 in California → Every provider in Newport Beach →
Other internal medicine physician records in California
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- Samuel Abarte, M.D.Chula Vista, CA1578535498
- Alexander Abary, MDLong Beach, CA1104995919
- Luba Abascal, MDSan Francisco, CA1023180874
- Michael Abate, MDSacramento, CA1548248131
- Wali Abawi, D.O.Joshua Tree, CA1104362268
Common questions
What is Gary Carlson, MD's NPI number?
Gary Carlson, MD's National Provider Identifier (NPI) is 1497700116, issued on May 23, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gary Carlson, MD located?
The NPPES record lists a practice address at 520 Superior Ave, Newport Beach, CA, 92663. Phone: (949) 722-3300. Providers update this record themselves, so call before visiting.
How can I verify Gary Carlson, MD's license?
NPPES lists California license number G80564, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Gary Carlson, MD prescribe under Medicare Part D?
In 2024, Gary Carlson, MD had 7,295 Medicare Part D claims for 533 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Gary Carlson, MD's MIPS final score?
The 2023 MIPS final score is 83 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.