John M. Carl, MD
Surgery Physician · Charlottesville, VA
John M. Carl, MD is a surgery physician with a practice address in Charlottesville, Virginia, and NPI 1437193323, issued on Jun 15, 2006. Check the license (Virginia 0101227465, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.
- Name
- John M. Carl
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 0101227465 VA
Self-reported in NPPES; status is on the state search - Practice location
- 500 Martha Jefferson Drive, Charlottesville, VA 22911
- Phone
- (434) 654-5260
- Enumerated
- Jun 15, 2006
- Record last updated
- Mar 13, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (434) 654-5262
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 865 in Virginia → Look up another NPI →
Also registered at 500 Martha Jefferson Drive
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Cynthia Spaulding, M.D.Radiation Oncology Physician1790786069
Verify John M. Carl in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersVirginia Department of Health Professions
Search for license 0101227465Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
52% fewer Medicare Part D claims than the average surgery physician in 2024
70 Medicare Part D claims for 64 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 59 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen58 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): 95.1 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).
John M. Carl among 865 surgery physician records in Virginia
John M. Carl, MD is one of 865 surgery physician records with a practice address in Virginia. 71% 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 13% of them.
- NPI issued2006 · 13% of these records are older, 56% newer
- In a Medicare fileYes · 71% of these records are
- In the CMS Doctors and Clinicians fileNo · 56% of these records are
- Record last updated2018 · 45% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Virginia
There are 865 surgery physician records in Virginia.
All 865 in Virginia → Every provider in Charlottesville → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Sarah Gates, D.O.Charlottesville, VA 229111649684150
- Charles Hurt, MDCharlottesville, VA 229111740819911
- Katrina Jackson, LSA, CSFACharlottesville, VA 229111992428890
- John JonesCharlottesville, VA 229111467463869
- Andrea Merrill, MDCharlottesville, VA 229111780979443
- Lane Ritter, M.D,Charlottesville, VA 229111558524777
- Timothy Snow, DOCharlottesville, VA 229111730449810
- Linda Sommers, FACSCharlottesville, VA 229111992715957
Common questions
What is John M. Carl, MD's NPI number?
John M. Carl, MD's National Provider Identifier (NPI) is 1437193323, issued on Jun 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John M. Carl, MD located?
The NPPES record lists a practice address at 500 Martha Jefferson Drive, Charlottesville, VA, 22911. Phone: (434) 654-5260. Providers update this record themselves, so call before visiting.
How can I verify John M. Carl, MD's license?
NPPES lists Virginia license number 0101227465, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John M. Carl, MD prescribe under Medicare Part D?
In 2024, John M. Carl, MD had 70 Medicare Part D claims for 64 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is John M. Carl, MD's MIPS final score?
The 2023 MIPS final score is 95.1 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.