NPI registry status
Active
2026 NPPES data Pediatric Cardiology Physician NPI 1790042125 MD
Verify on CMS → Matthew McCarter, MD
Pediatric Cardiology Physician in Wilmington, Delaware.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,529 in Pediatric Cardiology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 261 beneficiaries · Pediatric Cardiology Physician avg: 77
Generic prescribing
86%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Matthew McCarter, MD filed 1,956 Medicare Part D claims in 2023 as a Pediatric Cardiology Physician in Wilmington, Delaware, prescribing 86% generic.
- 2K
- Part D claims, 2023
- 86%
- 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.
Matthew McCarter, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,956 Top 16% higher than 84% of 1,370,886 prescribers
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)
Matthew McCarter, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - 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 Matthew McCarter, MD?
Quality data not reportedPrimary specialty
Pediatric Cardiology Physician
Medicare Part D claims
1,956 25× vs specialty avg
Specialty distribution in Delaware
How Pediatric Cardiology Physician compares to other specialties among Delaware providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Cardiology Physician. Verify directly:
How MIPS and board certification work
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).
Matthew McCarter, MD appears in the CMS NPPES registry as a Pediatric Cardiology Physician provider holding MD credentials at 1600 ROCKLAND RD, Wilmington, DE, 19803, with a listed phone of (913) 558-7928. NPI 1790042125 was issued on 04/23/2012.
Medicare Part D records for calendar year 2023 show 1,956 prescription claims written by this provider, covering 261 Medicare beneficiaries and totaling roughly $251K in drug spend, split 13% brand-name and 86% generic by claim count, with an opioid prescribing rate of 3.3%.
Pediatric Cardiology Physician is a narrow specialty nationwide, with 2,529 enrolled providers across 51 states and an average of 77 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
Provider Details
| NPI | 1790042125 |
|---|---|
| Specialty | Pediatric Cardiology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/23/2012 |
Hospital and facility affiliations
Facilities where Matthew McCarter, MD 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.
Christiana Care Health Services Inc
Wilmington, DE
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Matthew McCarter, MD - brand share 13.0%
Pediatric Cardiology Physician average
13% brand-name claims vs 86% generic, on 1,956 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.
1,956
Total Claims
$251K
Total Drug Cost
261
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,139
- Total Day Supply
- 121,826
- Brand vs Generic
- 13% brand / 86% generic
- Brand Drug Cost
- $212K
- Generic Drug Cost
- $39K
- Opioid Claims
- 65 (3.3% rate)
- Antibiotic Claims
- 13
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 1.56
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 64, 65-74: 105, 75-84: 73, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Matthew McCarter, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
203 claims
- Amlodipine Besylate
Amlodipine Besylate
121 claims
- Gabapentin
Gabapentin
95 claims
- Lisinopril
Lisinopril
92 claims
- Omeprazole 53
Omeprazole
53 claims
- Carvedilol 49
Carvedilol
49 claims
- Losartan Potassium 45
Losartan Potassium
45 claims
- Metformin Hcl 44
Metformin Hcl
44 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 203 |
| Amlodipine Besylate | 121 |
| Gabapentin | 95 |
| Lisinopril | 92 |
| Omeprazole | 53 |
| Carvedilol | 49 |
| Losartan Potassium | 45 |
| Metformin Hcl | 44 |
| Rosuvastatin Calcium | 43 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 39 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Cardiology Physician Overview
How Matthew McCarter, MD fits within the Pediatric Cardiology Physician landscape nationally.
2,529
Pediatric Cardiology Physician Providers in US
51
States with Pediatric Cardiology Physician
77
Avg Claims per Provider
Matthew McCarter, MD's 1,956 claims are above the specialty average of 77.
Nearby Pediatric Cardiology Physician Providers in Delaware
Other clinicians with the same primary specialty enrolled in Delaware, drawn from the same CMS NPPES roster as McCarter.
Dr. Paul Anisman
MD
Wilmington, DE
Dr. Jeanne Baffa
MD
Wilmington, DE
Kristian Becker
Wilmington, DE
Dr. Mark Cartoski
M.D.
Wilmington, DE
Dr. Heather Claar
PA-C
Wilmington, DE
Compare Pediatric Cardiology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Delaware medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Cardiology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Matthew McCarter, MD's specialty? ▼
Matthew McCarter, MD specializes in Pediatric Cardiology Physician and practices in Wilmington, Delaware. Credentials: MD.
How much does Matthew McCarter, MD prescribe under Medicare Part D? ▼
In 2023, Matthew McCarter, MD wrote 1,956 Medicare Part D claims totaling $251K in drug costs for 261 beneficiaries.
Where is Matthew McCarter, MD located? ▼
Matthew McCarter, MD is located at 1600 ROCKLAND RD, Wilmington, DE, 19803. Phone: (913) 558-7928.
What is Matthew McCarter, MD's NPI number? ▼
Matthew McCarter, MD's National Provider Identifier (NPI) is 1790042125, issued on 04/23/2012.
Does Matthew McCarter, MD prescribe more brand-name or generic drugs? ▼
Matthew McCarter, MD's prescribing is 13% brand-name and 86% generic drugs by claim count, with $212K in brand drug costs.
Does Matthew McCarter, MD prescribe opioids? ▼
Yes, Matthew McCarter, MD had 65 opioid claims in 2023 with an opioid prescribing rate of 3.3%.
How many Pediatric Cardiology Physician providers are there in the US? ▼
There are 2,529 Pediatric Cardiology Physician providers across 51 states in the US. The average Pediatric Cardiology Physician provider writes 77 Medicare Part D claims per year.
What drugs does Matthew McCarter, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Matthew McCarter, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Matthew McCarter, MD accept Medicare? ▼
Matthew McCarter, MD appears in CMS Medicare data with 1,956 Part D claims and 261 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Matthew McCarter, MD's credentials? ▼
Matthew McCarter, MD's NPI is 1790042125 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.