2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1194750034 M.D.
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HAROLD CARLSON, M.D.

Endocrinology, Diabetes & Metabolism Physician in EAST SETAUKET, New York. 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
476
Medicare Part D claims · 62 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.5241/100
▲ 15 pts above national avg 83.1 · [object Object]
What the federal data reveals: HAROLD CARLSON, M.D. is a Endocrinology, Diabetes & Metabolism Physician ([object Object]) practicing in EAST SETAUKET, New York with a Medicare Part D prescribing footprint of 476 claims across 62 beneficiaries — 36% brand-name prescribing . Their CMS MIPS Final Score of 98.5241/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: HAROLD CARLSON, M.D. reported a CMS MIPS final score of 98.5241 out of 100, above the 83.1 national average, and filed 476 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

HAROLD CARLSON, 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).

HAROLD CARLSON, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/11/2006

NPI 1194750034

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

476 82% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

98.5241/100 15.42410000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among New York providers

New York providers

Endocrinology, Diabetes & Metabolism Physician share within New York

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within New York

Medicare quality performance — MIPS

HAROLD CARLSON, M.D.'s 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average

High performer (top quartile)
MIPS Final Score
98.5241/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 98.5241/100 vs national avg 83.1

0%100%National avg83%98.5%
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 98.5241/100 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).

HAROLD CARLSON, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider practicing in EAST SETAUKET, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1194750034. 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.

HAROLD CARLSON, M.D. appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding M.D. credentials at 26 RESEARCH WAY, EAST SETAUKET, NY, 11733, with a listed phone of (631) 444-0580. NPI 1194750034 was issued on 07/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARLSON 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 476 prescription claims written by this provider, covering 62 Medicare beneficiaries and totaling roughly $175K in drug spend, split 36% brand-name and 64% 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 98.5241/100 for the 2023 performance year (Quality 82.8545), compared with the national average of 83.1.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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

26 RESEARCH WAY
EAST SETAUKET, NY 11733

Provider Details

NPI 1194750034
Specialty Endocrinology, Diabetes & Metabolism Physician
Credentials M.D.
Gender Male
NPI Issued 07/11/2006

CMS Quality Score (MIPS)

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

98.5241
Final Score
Avg: 83.1
82.8545
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to HAROLD CARLSON, M.D.. To verify HAROLD CARLSON, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

HAROLD CARLSON, M.D. — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 476 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.

476
Total Claims
$175K
Total Drug Cost
62
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,207
Total Day Supply
36,176
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$166K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.16
Gender Split
63% female / 37% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
130
Atorvastatin Calcium
21
Levoxyl
Levothyroxine Sodium
21
Methimazole
21
Synthroid
Levothyroxine Sodium
21
Alendronate Sodium
15
Metformin Hcl Er
Metformin Hcl
15
Hydrocortisone
12
Simvastatin
12
Metformin Hcl
11

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

Endocrinology, Diabetes & Metabolism Physician Overview

How HAROLD CARLSON, M.D. fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

HAROLD CARLSON, M.D.'s 476 claims are below the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as CARLSON.

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is HAROLD CARLSON, M.D.'s specialty?
HAROLD CARLSON, M.D. specializes in Endocrinology, Diabetes & Metabolism Physician and practices in EAST SETAUKET, New York. Credentials: M.D..
How much does HAROLD CARLSON, M.D. prescribe under Medicare Part D?
In 2023, HAROLD CARLSON, M.D. wrote 476 Medicare Part D claims totaling $175K in drug costs for 62 beneficiaries.
What is HAROLD CARLSON, M.D.'s Medicare quality score?
HAROLD CARLSON, M.D. has a CMS MIPS Final Score of 98.5241/100 (Quality: 82.8545). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is HAROLD CARLSON, M.D. located?
HAROLD CARLSON, M.D. is located at 26 RESEARCH WAY, EAST SETAUKET, NY, 11733. Phone: (631) 444-0580.
What is HAROLD CARLSON, M.D.'s NPI number?
HAROLD CARLSON, M.D.'s National Provider Identifier (NPI) is 1194750034, issued on 07/11/2006.
Does HAROLD CARLSON, M.D. prescribe more brand-name or generic drugs?
HAROLD CARLSON, M.D.'s prescribing is 36% brand-name and 64% generic drugs by claim count, with $166K in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does HAROLD CARLSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, HAROLD CARLSON, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Levoxyl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does HAROLD CARLSON, M.D. accept Medicare?
HAROLD CARLSON, M.D. appears in CMS Medicare data with 476 Part D claims and 62 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify HAROLD CARLSON, M.D.'s credentials?
HAROLD CARLSON, M.D.'s NPI is 1194750034 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