Nicholas Decarlo, PA
Physician Assistant · Wilmington, DE
Nicholas Decarlo, PA is a physician assistant with a practice address in Wilmington, Delaware, and NPI 1306430079, issued on Feb 23, 2021. Check the license with the Delaware board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicholas Decarlo
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 5317 Limestone RD Ste 4, Wilmington, DE 19808
- Phone
- (302) 731-2888
- Enumerated
- Feb 23, 2021
- Record last updated
- Jan 25, 2024
- Fax
- (302) 731-7049
- Medicare enrollment
- Enrolled (PECOS I20211109000037); accepts Medicare assignment
- Medical or professional school
- Philadelphia College Of Osteopathic Medicine, 2021
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 695 in Delaware → Look up another NPI →
Also registered at 5317 Limestone RD Ste 4
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Craig Smucker, M.D.Adult Reconstructive Orthopaedic Surgery Physician1497973754
Verify Nicholas Decarlo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Delaware board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
61% fewer Medicare Part D claims than the average physician assistant in 2024
321 Medicare Part D claims for 146 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 160 claims were for opioids.
Most prescribed
- Oxycodone Hcl146 claims
- Gabapentin80 claims
- Meloxicam15 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): 80.1 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).
Industry payments in 2024: $534.59
8 payments; by number, the most common kind was food and beverage; the largest payer was Smith+Nephew, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- First State Orthopaedics PANewark, DE
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicholas Decarlo among 695 physician assistant records in Delaware
Nicholas Decarlo, PA is one of 695 physician assistant records with a practice address in Delaware. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 62% of them.
- NPI issued2021 · 62% of these records are older, 30% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2021 · median 2019 among the 462 with a school on file
- Record last updated2024 · 34% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Delaware practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
138 physician assistant records list a practice address in Wilmington
They are 138 of the 6,291 NPPES records with a practice address in Wilmington, and 695 physician assistant records in Delaware.
All 695 in Delaware → Every provider in Wilmington → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Robert Biddle, PAWilmington, DE 198081467462051
- Joseph Cassidy, PAWilmington, DE 198081558371146
- Crystal Dimauro, PAWilmington, DE 198081750832812
- George Duffield, PA-CWilmington, DE 198081689101917
- Catherine Frescoln, PAWilmington, DE 198081629280375
- Daniel Maistre, PA-CWilmington, DE 198081770949026
- Thomas Merring, P.A.Wilmington, DE 198081447507421
- Chioma Njoku, PHYSICIAN ASSISTANTWilmington, DE 198081831483783
Common questions
What is Nicholas Decarlo, PA's NPI number?
Nicholas Decarlo, PA's National Provider Identifier (NPI) is 1306430079, issued on Feb 23, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Nicholas Decarlo, PA located?
The NPPES record lists a practice address at 5317 Limestone RD Ste 4, Wilmington, DE, 19808. Phone: (302) 731-2888. Providers update this record themselves, so call before visiting.
How can I verify Nicholas Decarlo, PA's license?
Search the Delaware board that licenses this profession; the NPPES record confirms identity only.
How much does Nicholas Decarlo, PA prescribe under Medicare Part D?
In 2024, Nicholas Decarlo, PA had 321 Medicare Part D claims for 146 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
What is Nicholas Decarlo, PA's MIPS final score?
The 2023 MIPS final score is 80.1 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.