2026 NPPES data General Practice Physician NPI 1588741243 MD
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JOHN DE CARLO, MD

General Practice 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.
Prescribing volume
1K
Medicare Part D claims · 69 beneficiaries · General Practice Physician avg: 3K
What the federal data reveals: JOHN DE CARLO, MD is a General Practice Physician ([object Object]) practicing in PHILADELPHIA, Pennsylvania with a Medicare Part D prescribing footprint of 1K claims across 69 beneficiaries .

What stands out: JOHN DE CARLO, MD filed 1,098 Medicare Part D claims in 2023 across PHILADELPHIA, Pennsylvania. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JOHN DE CARLO, 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).

JOHN DE CARLO, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 11/01/2006

NPI 1588741243

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

1,098 62% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Pennsylvania

How General Practice Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

General Practice Physician share within Pennsylvania

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

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

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

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice 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).

JOHN DE CARLO, MD is a General Practice Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1588741243. 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 DE CARLO, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 7904 BUSTLETON AVENUE, PHILADELPHIA, PA, 19152, with a listed phone of (215) 742-7212. NPI 1588741243 was issued on 11/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DE CARLO 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 1,098 prescription claims written by this provider, covering 69 Medicare beneficiaries and totaling roughly $41K in drug spend, with an opioid prescribing rate of 5.6%. 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.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

7904 BUSTLETON AVENUE
PHILADELPHIA, PA 19152

Provider Details

NPI 1588741243
Specialty General Practice Physician
Credentials MD
Gender Male
NPI Issued 11/01/2006

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 JOHN DE CARLO, MD. To verify JOHN DE CARLO, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,098
Total Claims
$41K
Total Drug Cost
69
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,989
Total Day Supply
56,110
Generic Drug Cost
$18K
Opioid Claims
61 (5.6% rate)
Antibiotic Claims
38

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.21
Gender Split
39% female / 61% 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
Rosuvastatin Calcium
64
Losartan Potassium
52
Amlodipine Besylate
51
Atorvastatin Calcium
50
Metformin Hcl
46
Fenofibrate
Fenofibrate Nanocrystallized
34
Pantoprazole Sodium
34
Levothyroxine Sodium
33
Simvastatin
30
Lorazepam
29

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

General Practice Physician Overview

How JOHN DE CARLO, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

JOHN DE CARLO, MD's 1,098 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Pennsylvania

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN DE CARLO, MD's specialty?
JOHN DE CARLO, MD specializes in General Practice Physician and practices in PHILADELPHIA, Pennsylvania. Credentials: MD.
How much does JOHN DE CARLO, MD prescribe under Medicare Part D?
In 2023, JOHN DE CARLO, MD wrote 1,098 Medicare Part D claims totaling $41K in drug costs for 69 beneficiaries.
Where is JOHN DE CARLO, MD located?
JOHN DE CARLO, MD is located at 7904 BUSTLETON AVENUE, PHILADELPHIA, PA, 19152. Phone: (215) 742-7212.
What is JOHN DE CARLO, MD's NPI number?
JOHN DE CARLO, MD's National Provider Identifier (NPI) is 1588741243, issued on 11/01/2006.
Does JOHN DE CARLO, MD prescribe opioids?
Yes, JOHN DE CARLO, MD had 61 opioid claims in 2023 with an opioid prescribing rate of 5.6%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does JOHN DE CARLO, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN DE CARLO, MD's most frequently prescribed drugs include Rosuvastatin Calcium, Losartan Potassium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN DE CARLO, MD accept Medicare?
JOHN DE CARLO, MD appears in CMS Medicare data with 1,098 Part D claims and 69 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN DE CARLO, MD's credentials?
JOHN DE CARLO, MD's NPI is 1588741243 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.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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