John M. Carbone, MD
Family Medicine Physician · Durham, CT
John M. Carbone, MD is a family medicine physician with a practice address in Durham, Connecticut, and NPI 1366487563, issued on Jun 19, 2006. Check the license (Connecticut 043280, as entered in NPPES) on the Connecticut Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- John M. Carbone
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 043280 CT
Self-reported in NPPES; status is on the state search - Practice location
- 6 Main St, Durham, CT 06422
- Phone
- (860) 349-1058
- Enumerated
- Jun 19, 2006
- Record last updated
- Apr 11, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (860) 358-8652
- Medicaid ID
- 1432806 CT
- Medicare enrollment
- Enrolled (PECOS I20050520000596); accepts Medicare assignment
- Medical or professional school
- University Of Connecticut School Of Medicine, 2002
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 958 in Connecticut → Look up another NPI →
Also registered at 6 Main St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Rena Jacobs, PAPhysician Assistant1629301718
- Jenna Parks, PA-CPhysician Assistant1407463235
- Jessica ReichbindFamily Medicine Physician1417367657
- Marc Roy, MDFamily Medicine Physician1720428576
- Mary Beth Van Siclen, M.D.Family Medicine Physician1730590860
- Bradford Wilkinson, MDFamily Medicine Physician1265469068
Verify John M. Carbone in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersConnecticut Medical Examining Board
Search for license 043280Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
89% fewer Medicare Part D claims than the average family medicine physician in 2024
382 Medicare Part D claims for 152 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims.
Most prescribed
- Rosuvastatin Calcium39 claims
- Sertraline Hcl27 claims
- Amlodipine Besylate20 claims
- Metoprolol Succinate20 claims
- Allopurinol17 claims
- Hydrochlorothiazide17 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): 97.3 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).
Bills Medicare through one group practice
- Mhs Primary Care, Inc.Old Saybrook, CT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John M. Carbone among 958 family medicine physician records in Connecticut
John M. Carbone, MD is one of 958 family medicine physician records with a practice address in Connecticut. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.
- NPI issued2006 · 7% of these records are older, 57% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 64% of these records are
- Graduated2002 · median 2009 among the 611 with a school on file
- Record last updated2017 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
7 family medicine physician records list a practice address in Durham
They are 7 of the 59 NPPES records with a practice address in Durham, and 958 family medicine physician records in Connecticut.
All 958 in Connecticut → Every provider in Durham → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Theodore Bruno, MDDurham, CT 064221174068803
- Nazmiye Hatiboglu, MDDurham, CT 064221225266547
- Jessica ReichbindDurham, CT 064221417367657
- Marc Roy, MDDurham, CT 064221720428576
- Mary Beth Van Siclen, M.D.Durham, CT 064221730590860
- Bradford Wilkinson, MDDurham, CT 064221265469068
- Domenic Casablanca, M.D.East Hampton, CT 064241548227267
- Ana Garcia, D.O.East Hampton, CT 064241710418249
Common questions
What is John M. Carbone, MD's NPI number?
John M. Carbone, MD's National Provider Identifier (NPI) is 1366487563, issued on Jun 19, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John M. Carbone, MD located?
The NPPES record lists a practice address at 6 Main St, Durham, CT, 06422. Phone: (860) 349-1058. Providers update this record themselves, so call before visiting.
How can I verify John M. Carbone, MD's license?
NPPES lists Connecticut license number 043280, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John M. Carbone, MD prescribe under Medicare Part D?
In 2024, John M. Carbone, MD had 382 Medicare Part D claims for 152 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is John M. Carbone, MD's MIPS final score?
The 2023 MIPS final score is 97.3 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.