NPPES file of Aug 9, 2026

Kristen Elizabeth Decarlo, M.D.

Endocrinology, Diabetes & Metabolism Physician · New York, NY

Kristen Elizabeth Decarlo, M.D. is an endocrinology, diabetes & metabolism physician with a practice address in New York, New York, and NPI 1982042214, issued on Jun 9, 2013. Check the license (New York 280536-1, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1982042214
Name
Kristen Elizabeth Decarlo
Credential
M.D.
Primary taxonomy
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License numbers
280536-1 NY
036143295 IL
Self-reported in NPPES; status is on the state search
Practice location
423 E 23RD St, New York, NY 10010
Phone
(212) 686-7500
Enumerated
Jun 9, 2013
Record last updated
Feb 24, 2025
Medicare enrollment
Enrolled (PECOS I20200528001384); accepts Medicare assignment
Medical or professional school
Boston University School Of Medicine, 2013
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 423 E 23RD St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Shackera Abbott-Barcoo, RRTGeneral Care Registered Respiratory Therapist1972836682
  2. Joycelyn Adams, OTAOccupational Therapy Assistant1891750709
  3. Julia Agee, MDNeurology Physician1497246003
  4. Hubimer Aguirre, DPTPhysical Therapist1891375861
  5. Syeda Ahmed, RPHPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist1386696094
  6. Tasneem Ahmed, MDRheumatology Physician1598261265

Verify Kristen Elizabeth Decarlo in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 280536-1
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

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45% fewer Medicare Part D claims than the average endocrinology, diabetes & metabolism physician in 2024

1,445 Medicare Part D claims for 188 beneficiaries, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 41% of claims.

  1. Kristen Decarlo1,445
  2. Specialty average2,630

Most prescribed

  1. Levothyroxine Sodium126 claims
  2. Trulicity107 claims
  3. Atorvastatin Calcium99 claims
  4. Alendronate Sodium71 claims
  5. Jardiance57 claims
  6. Ultra-Fine Short Pen Needle57 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 practice group's MIPS final score for 2023 (Medicare payment program): 87.1 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score70.8
  2. Costout of 100 · 30%52.8
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. The Board OF Trustees OF The University OF IllinoisChicago, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Endocrinology, Diabetes & Metabolism Physician providers in New York

There are 970 endocrinology, diabetes & metabolism physician records in New York.

Other endocrinology, diabetes & metabolism physician records in New York

  1. Zinoviy Abelev, MDLong Island City, NY1891941613
  2. Jill Abelseth, M.D.Albany, NY1720080039
  3. Sherley Abraham, M.D.New York, NY1871739441
  4. Connor Abramowicz, DOPort Jefferson, NY1508485913
  5. Jennifer Abrams, DOBrooklyn, NY1679101364
  6. Naim Abrar, M.D.Riverhead, NY1790702355
  7. Cesar Abuchaibe, MDNew York, NY1316250582
  8. Runa Acharya, MDSyracuse, NY1477817401
  9. Robert Aden, MDBrooklyn, NY1457312829
  10. Deena Adimoolam, MDNew York, NY1619110228

Common questions

What is Kristen Elizabeth Decarlo, M.D.'s NPI number?

Kristen Elizabeth Decarlo, M.D.'s National Provider Identifier (NPI) is 1982042214, issued on Jun 9, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Kristen Elizabeth Decarlo, M.D. located?

The NPPES record lists a practice address at 423 E 23RD St, New York, NY, 10010. Phone: (212) 686-7500. Providers update this record themselves, so call before visiting.

How can I verify Kristen Elizabeth Decarlo, M.D.'s license?

NPPES lists New York license number 280536-1, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kristen Elizabeth Decarlo, M.D. prescribe under Medicare Part D?

In 2024, Kristen Elizabeth Decarlo, M.D. had 1,445 Medicare Part D claims for 188 beneficiaries; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.

What is Kristen Elizabeth Decarlo, M.D.'s MIPS final score?

The 2023 MIPS final score is 87.1 of 100, reported for the practice group. 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.