2026 NPPES data Medical Toxicology (Emergency Medicine) Physician NPI 1598763203 M.D.
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JOSEPH CARUSO, M.D.

Medical Toxicology (Emergency Medicine) Physician in MISHAWAKA, Indiana. 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
7K
Medicare Part D claims · 595 beneficiaries · Medical Toxicology (Emergency Medicine) Physician avg: 329
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$556.7
26 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSEPH CARUSO, M.D. filed 7,136 Medicare Part D claims in 2023 as a Medical Toxicology (Emergency Medicine) Physician in MISHAWAKA, Indiana, prescribing 91% generic.

7K
Part D claims, 2023
91%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JOSEPH CARUSO, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

7,136 Top 4% higher than 96% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JOSEPH CARUSO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JOSEPH CARUSO, M.D.?

Quality data not reported

NPI registry status

Active

Issued 07/07/2005

NPI 1598763203

Primary specialty

Medical Toxicology (Emergency Medicine) Physician

Rare

226 US NPIs in this specialty

Medicare Part D claims

7,136 2069% vs specialty avg

2023 prescription claims

Specialty avg: 329

Specialty distribution in Indiana

How Medical Toxicology (Emergency Medicine) Physician compares to other specialties among Indiana providers

Indiana providers

Medical Toxicology (Emergency Medicine) Physician share within Indiana

1. Medical Toxicology (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Toxicology (Emergency Medicine) Physician share within Indiana

Specialty board-certification context

Estimated specialty board-certified rate — Medical Toxicology (Emergency Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Medical Toxicology (Emergency Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Medical Toxicology (Emergency Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Medical Toxicology (Emergency Medicine) 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).

JOSEPH CARUSO, M.D. appears in the CMS NPPES registry as a Medical Toxicology (Emergency Medicine) Physician provider holding M.D. credentials at 4630 VISTULA RD, MISHAWAKA, IN, 46544, with a listed phone of (574) 647-1900. NPI 1598763203 was issued on 07/07/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARUSO 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 7,136 prescription claims written by this provider, covering 595 Medicare beneficiaries and totaling roughly $498K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 6.2%. 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.

Medical Toxicology (Emergency Medicine) Physician is a narrow specialty nationwide, with 226 enrolled providers across 39 states and an average of 329 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

4630 VISTULA RD
MISHAWAKA, IN 46544

Provider Details

NPI 1598763203
Specialty Medical Toxicology (Emergency Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 07/07/2005

Hospital and facility affiliations

Facilities where JOSEPH CARUSO, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

APOGEE MEDICAL GROUP INDIANA PC
ELKHART, IN
BEACON MEDICAL GROUP INC
MISHAWAKA, IN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JOSEPH CARUSO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$557

Largest payer

AstraZeneca Pharmaceuticals LP

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

JOSEPH CARUSO, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 7,136 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.

7,136
Total Claims
$498K
Total Drug Cost
595
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,072
Total Day Supply
427,699
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$384K
Generic Drug Cost
$111K
Opioid Claims
442 (6.2% rate)
Antibiotic Claims
328

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.05
Gender Split
53% female / 47% male
Age Distribution
<65: 56, 65-74: 292, 75-84: 191, 85+: 56

Top Prescribed Drugs (Medicare Part D)

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

What JOSEPH CARUSO, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
428
Levothyroxine Sodium
364
Lisinopril
296
Simvastatin
172
Pantoprazole Sodium
163
Alprazolam
161
Amlodipine Besylate
155
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
155
Lorazepam
141
Gabapentin
133

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

Medical Toxicology (Emergency Medicine) Physician Overview

How JOSEPH CARUSO, M.D. fits within the Medical Toxicology (Emergency Medicine) Physician landscape nationally.

226
Medical Toxicology (Emergency Medicine) Physician Providers in US
39
States with Medical Toxicology (Emergency Medicine) Physician
329
Avg Claims per Provider

JOSEPH CARUSO, M.D.'s 7,136 claims are above the specialty average of 329.

Nearby Medical Toxicology (Emergency Medicine) Physician Providers in Indiana

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

Compare Medical Toxicology (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH CARUSO, M.D.'s specialty?
JOSEPH CARUSO, M.D. specializes in Medical Toxicology (Emergency Medicine) Physician and practices in MISHAWAKA, Indiana. Credentials: M.D..
How much does JOSEPH CARUSO, M.D. prescribe under Medicare Part D?
In 2023, JOSEPH CARUSO, M.D. wrote 7,136 Medicare Part D claims totaling $498K in drug costs for 595 beneficiaries.
Where is JOSEPH CARUSO, M.D. located?
JOSEPH CARUSO, M.D. is located at 4630 VISTULA RD, MISHAWAKA, IN, 46544. Phone: (574) 647-1900.
What is JOSEPH CARUSO, M.D.'s NPI number?
JOSEPH CARUSO, M.D.'s National Provider Identifier (NPI) is 1598763203, issued on 07/07/2005.
Does JOSEPH CARUSO, M.D. prescribe more brand-name or generic drugs?
JOSEPH CARUSO, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $384K in brand drug costs.
Does JOSEPH CARUSO, M.D. prescribe opioids?
Yes, JOSEPH CARUSO, M.D. had 442 opioid claims in 2023 with an opioid prescribing rate of 6.2%.
How many Medical Toxicology (Emergency Medicine) Physician providers are there in the US?
There are 226 Medical Toxicology (Emergency Medicine) Physician providers across 39 states in the US. The average Medical Toxicology (Emergency Medicine) Physician provider writes 329 Medicare Part D claims per year.
What drugs does JOSEPH CARUSO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH CARUSO, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH CARUSO, M.D. accept Medicare?
JOSEPH CARUSO, M.D. appears in CMS Medicare data with 7,136 Part D claims and 595 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH CARUSO, M.D.'s credentials?
JOSEPH CARUSO, M.D.'s NPI is 1598763203 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.
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