2026 NPPES data Pediatric Rheumatology Physician NPI 1013476142 MD
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HALLIE CAROL, MD

Pediatric Rheumatology Physician in PHILADELPHIA, Pennsylvania. 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.
What the federal data reveals: HALLIE CAROL, MD is a Pediatric Rheumatology Physician ([object Object]) practicing in PHILADELPHIA, Pennsylvania .

What stands out: HALLIE CAROL, MD specializes in Pediatric Rheumatology Physician and practices in PHILADELPHIA, Pennsylvania, listed in the federal CMS National Provider Identifier registry. Every detail on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

HALLIE CAROL, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

HALLIE CAROL, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/18/2019

NPI 1013476142

Primary specialty

Pediatric Rheumatology Physician

Rare

390 US NPIs in this specialty

Specialty distribution in Pennsylvania

How Pediatric Rheumatology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pediatric Rheumatology Physician share within Pennsylvania

1. Pediatric Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Rheumatology Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Rheumatology Physician) — ABMS / AOA estimate

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).

HALLIE CAROL, MD is a Pediatric Rheumatology Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1013476142. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

HALLIE CAROL, MD appears in the CMS NPPES registry as a Pediatric Rheumatology Physician provider holding MD credentials at 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104, with a listed phone of (215) 590-7180. NPI 1013476142 was issued on 03/18/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAROL 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatric Rheumatology Physician providers operate outside Part D entirely.

Pediatric Rheumatology Physician is a narrow specialty nationwide, with 390 enrolled providers across 43 states and an average of 200 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

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Provider Details

NPI 1013476142
Specialty Pediatric Rheumatology Physician
Credentials MD
Gender Female
NPI Issued 03/18/2019

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to HALLIE CAROL, MD. To verify HALLIE CAROL, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Pediatric Rheumatology Physician Overview

How HALLIE CAROL, MD fits within the Pediatric Rheumatology Physician landscape nationally.

390
Pediatric Rheumatology Physician Providers in US
43
States with Pediatric Rheumatology Physician
200
Avg Claims per Provider

Nearby Pediatric Rheumatology Physician Providers in Pennsylvania

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

Compare Pediatric Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HALLIE CAROL, MD's specialty?
HALLIE CAROL, MD specializes in Pediatric Rheumatology Physician and practices in PHILADELPHIA, Pennsylvania. Credentials: MD.
Where is HALLIE CAROL, MD located?
HALLIE CAROL, MD is located at 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104. Phone: (215) 590-7180.
What is HALLIE CAROL, MD's NPI number?
HALLIE CAROL, MD's National Provider Identifier (NPI) is 1013476142, issued on 03/18/2019.
How many Pediatric Rheumatology Physician providers are there in the US?
There are 390 Pediatric Rheumatology Physician providers across 43 states in the US. The average Pediatric Rheumatology Physician provider writes 200 Medicare Part D claims per year.
Does HALLIE CAROL, MD accept Medicare?
HALLIE CAROL, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HALLIE CAROL, MD's credentials?
HALLIE CAROL, MD's NPI is 1013476142 with credentials MD. 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.
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