2026 NPPES data Sports Medicine Podiatrist NPI 1508946054 DPM
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JOHN CARROLL, DPM

Sports Medicine Podiatrist in OLD SAYBROOK, Connecticut. 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
152
Medicare Part D claims · 88 beneficiaries · Sports Medicine Podiatrist avg: 253
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
What the federal data reveals: JOHN CARROLL, DPM is a Sports Medicine Podiatrist ([object Object]) practicing in OLD SAYBROOK, Connecticut with a Medicare Part D prescribing footprint of 152 claims across 88 beneficiaries — 15% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOHN CARROLL, DPM reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 152 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOHN CARROLL, DPM at a glance

Below national average

NPI registry status

Active

Issued 10/17/2006

NPI 1508946054

Primary specialty

Sports Medicine Podiatrist

Rare

134 US NPIs in this specialty

Medicare Part D claims

152 40% vs specialty avg

2023 prescription claims

Specialty avg: 253

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Connecticut

How Sports Medicine Podiatrist compares to other specialties among Connecticut providers

Connecticut providers

Sports Medicine Podiatrist share within Connecticut

1. Sports Medicine Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine Podiatrist share within Connecticut

Medicare quality performance — MIPS

JOHN CARROLL, DPM's 2023 MIPS final score plotted against the Sports Medicine Podiatrist national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine Podiatrist) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Sports Medicine Podiatrist) — 0/100 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).

JOHN CARROLL, DPM is a Sports Medicine Podiatrist provider practicing in OLD SAYBROOK, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DPM. NPI: 1508946054. 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.

JOHN CARROLL, DPM appears in the CMS NPPES registry as a Sports Medicine Podiatrist provider holding DPM credentials at 455 BOSTON POST RD STE 8, OLD SAYBROOK, CT, 06475, with a listed phone of (860) 510-0502. NPI 1508946054 was issued on 10/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARROLL 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 152 prescription claims written by this provider, covering 88 Medicare beneficiaries and totaling roughly $32K in drug spend, split 15% brand-name and 85% 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Sports Medicine Podiatrist is a narrow specialty nationwide, with 134 enrolled providers across 30 states and an average of 253 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

455 BOSTON POST RD STE 8
OLD SAYBROOK, CT 06475

Provider Details

NPI 1508946054
Specialty Sports Medicine Podiatrist
Credentials DPM
Gender Male
NPI Issued 10/17/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Brand vs generic prescribing mix · Typical

JOHN CARROLL, DPM — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 152 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.

152
Total Claims
$32K
Total Drug Cost
88
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
167
Total Day Supply
3,409
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$29K
Generic Drug Cost
$3K
Antibiotic Claims
48

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.49
Gender Split
43% female / 57% 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
Ketoconazole
34
Cephalexin
17
Jublia
Efinaconazole
17
Ciclopirox
16
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
12

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

Sports Medicine Podiatrist Overview

How JOHN CARROLL, DPM fits within the Sports Medicine Podiatrist landscape nationally.

134
Sports Medicine Podiatrist Providers in US
30
States with Sports Medicine Podiatrist
253
Avg Claims per Provider

JOHN CARROLL, DPM's 152 claims are below the specialty average of 253.

Nearby Sports Medicine Podiatrist Providers in Connecticut

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

Compare Sports Medicine Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN CARROLL, DPM's specialty?
JOHN CARROLL, DPM specializes in Sports Medicine Podiatrist and practices in OLD SAYBROOK, Connecticut. Credentials: DPM.
How much does JOHN CARROLL, DPM prescribe under Medicare Part D?
In 2023, JOHN CARROLL, DPM wrote 152 Medicare Part D claims totaling $32K in drug costs for 88 beneficiaries.
What is JOHN CARROLL, DPM's Medicare quality score?
JOHN CARROLL, DPM has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN CARROLL, DPM located?
JOHN CARROLL, DPM is located at 455 BOSTON POST RD STE 8, OLD SAYBROOK, CT, 06475. Phone: (860) 510-0502.
What is JOHN CARROLL, DPM's NPI number?
JOHN CARROLL, DPM's National Provider Identifier (NPI) is 1508946054, issued on 10/17/2006.
Does JOHN CARROLL, DPM prescribe more brand-name or generic drugs?
JOHN CARROLL, DPM's prescribing is 15% brand-name and 85% generic drugs by claim count, with $29K in brand drug costs.
How many Sports Medicine Podiatrist providers are there in the US?
There are 134 Sports Medicine Podiatrist providers across 30 states in the US. The average Sports Medicine Podiatrist provider writes 253 Medicare Part D claims per year.
What drugs does JOHN CARROLL, DPM prescribe most often?
Based on 2023 Medicare Part D data, JOHN CARROLL, DPM's most frequently prescribed drugs include Ketoconazole, Cephalexin, Jublia. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN CARROLL, DPM accept Medicare?
JOHN CARROLL, DPM appears in CMS Medicare data with 152 Part D claims and 88 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN CARROLL, DPM's credentials?
JOHN CARROLL, DPM's NPI is 1508946054 with credentials DPM. 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