Lillian Carolina, MD
Family Medicine Physician · Oceanside, NY
Lillian Carolina, MD is a family medicine physician with a practice address in Oceanside, New York, and NPI 1194076729, issued on Sep 22, 2012. Check the license (New York 265572, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Lillian Carolina
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 265572 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1 Healthy Way, Oceanside, NY 11572
- Phone
- (516) 255-8400
- Enumerated
- Sep 22, 2012
- Record last updated
- Dec 8, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20130813000577); may accept Medicare assignment
- Medical or professional school
- University Of Maryland School Of Medicine, 2009
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 6,417 in New York → Look up another NPI →
Also registered at 1 Healthy Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Gabrielle Abbott, PAPhysician Assistant1669158036
- Batool Abiad, DOStudent in an Organized Health Care Education/Training Program1932040359
- Wray AdamsCertified Registered Nurse Anesthetist1548598675
- Anubhav Agarwal, MDSports Medicine (Family Medicine) Physician1568709244
- Brody Agres, PA-CMedical Physician Assistant1689470502
Verify Lillian Carolina in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 265572Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
92% fewer Medicare Part D claims than the average family medicine physician in 2024
292 Medicare Part D claims for 209 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.
Most prescribed
- Azithromycin44 claims
- Sulfamethoxazole-Trimethoprim33 claims
- Amoxicillin-Clavulanate Potass28 claims
- Cephalexin21 claims
- Fluticasone Propionate21 claims
- Prednisone15 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): 84.1 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.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 2 group practices
- Optum Medical Care PCMount Kisco, NY
- Optum Urgent Care PLLCLong Beach, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lillian Carolina among 6,417 family medicine physician records in New York
Lillian Carolina, MD is one of 6,417 family medicine physician records with a practice address in New York. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 63% of them.
- NPI issued2012 · 63% of these records are older, 35% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2009 · median 2007 among the 4,188 with a school on file
- Record last updated2015 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
31 family medicine physician records list a practice address in Oceanside
They are 31 of the 1,093 NPPES records with a practice address in Oceanside, and 6,417 family medicine physician records in New York.
All 6,417 in New York → Every provider in Oceanside → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Jamil Ahmed, MDOceanside, NY 115721205120185
- Jimmy Bajaj, D.O.Oceanside, NY 115721881036291
- Rossy Duarte, DOOceanside, NY 115721689013328
- Mary Ellis, M.D.Oceanside, NY 115721134447329
- Alexander Gorny, M.D.Oceanside, NY 115721881910636
- Emad Hanna, M.D.Oceanside, NY 115721912992785
- Scott Ippolito, M.D.Oceanside, NY 115721619962586
- Sunita Jain, M.D.Oceanside, NY 115721487649257
Common questions
What is Lillian Carolina, MD's NPI number?
Lillian Carolina, MD's National Provider Identifier (NPI) is 1194076729, issued on Sep 22, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Lillian Carolina, MD located?
The NPPES record lists a practice address at 1 Healthy Way, Oceanside, NY, 11572. Phone: (516) 255-8400. Providers update this record themselves, so call before visiting.
How can I verify Lillian Carolina, MD's license?
NPPES lists New York license number 265572, 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 Lillian Carolina, MD prescribe under Medicare Part D?
In 2024, Lillian Carolina, MD had 292 Medicare Part D claims for 209 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Lillian Carolina, MD's MIPS final score?
The 2023 MIPS final score is 84.1 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.