2026 NPPES data Pediatrics Physician NPI 1194796201 MD
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PAUL CARBONE, MD

Pediatrics Physician in SALT LAKE CITY, Utah. 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
30
Medicare Part D claims · Pediatrics Physician avg: 762
MIPS score
99.4749/100
▲ 16 pts above national avg 83.1 · [object Object]
What the federal data reveals: PAUL CARBONE, MD is a Pediatrics Physician ([object Object]) practicing in SALT LAKE CITY, Utah with a Medicare Part D prescribing footprint of 30 claims . Their CMS MIPS Final Score of 99.4749/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PAUL CARBONE, MD reported a CMS MIPS final score of 99.4749 out of 100, above the 83.1 national average, and filed 30 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PAUL CARBONE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PAUL CARBONE, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/27/2006

NPI 1194796201

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

30 96% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

99.4749/100 16.37490000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Utah

How Pediatrics Physician compares to other specialties among Utah providers

Utah providers

Pediatrics Physician share within Utah

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Utah

Medicare quality performance — MIPS

PAUL CARBONE, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average

High performer (top quartile)
MIPS Final Score
99.4749/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 99.4749/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Pediatrics Physician) — 99.4749/100 vs national avg 83.1

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).

PAUL CARBONE, MD is a Pediatrics Physician provider practicing in SALT LAKE CITY, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1194796201. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PAUL CARBONE, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 50 N MEDICAL DR, SALT LAKE CITY, UT, 84132, with a listed phone of (801) 581-3501. NPI 1194796201 was issued on 01/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARBONE 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 30 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 99.4749/100 for the 2023 performance year (Quality 91.5741), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

50 N MEDICAL DR
SALT LAKE CITY, UT 84132

Provider Details

NPI 1194796201
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 01/27/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

99.4749
Final Score
Avg: 83.1
91.5741
Quality
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

30
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
62
Total Day Supply
1,850
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
21.7 years
Avg HCC Risk Score
0.62

Pediatrics Physician Overview

How PAUL CARBONE, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

PAUL CARBONE, MD's 30 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Utah

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

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL CARBONE, MD's specialty?
PAUL CARBONE, MD specializes in Pediatrics Physician and practices in SALT LAKE CITY, Utah. Credentials: MD.
How much does PAUL CARBONE, MD prescribe under Medicare Part D?
In 2023, PAUL CARBONE, MD wrote 30 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
What is PAUL CARBONE, MD's Medicare quality score?
PAUL CARBONE, MD has a CMS MIPS Final Score of 99.4749/100 (Quality: 91.5741). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL CARBONE, MD located?
PAUL CARBONE, MD is located at 50 N MEDICAL DR, SALT LAKE CITY, UT, 84132. Phone: (801) 581-3501.
What is PAUL CARBONE, MD's NPI number?
PAUL CARBONE, MD's National Provider Identifier (NPI) is 1194796201, issued on 01/27/2006.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
Does PAUL CARBONE, MD accept Medicare?
PAUL CARBONE, MD appears in CMS Medicare data with 30 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL CARBONE, MD's credentials?
PAUL CARBONE, MD's NPI is 1194796201 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

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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