2026 NPPES data Hematology & Oncology Physician NPI 1285630731 M.D.
Verify on CMS →

ROCCO CARUSO, M.D.

Hematology & Oncology Physician in EAST SETAUKET, New York. 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
2K
Medicare Part D claims · 334 beneficiaries · Hematology & Oncology Physician avg: 847
MIPS score
99.15/100
▲ 16 pts above national avg 83.1 · [object Object]
What the federal data reveals: ROCCO CARUSO, M.D. is a Hematology & Oncology Physician ([object Object]) practicing in EAST SETAUKET, New York with a Medicare Part D prescribing footprint of 2K claims across 334 beneficiaries . Their CMS MIPS Final Score of 99.15/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ROCCO CARUSO, M.D. reported a CMS MIPS final score of 99.15 out of 100, above the 83.1 national average, and filed 2,084 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)

ROCCO CARUSO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ROCCO CARUSO, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/21/2005

NPI 1285630731

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

2,084 146% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

99.15/100 16.05000000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Hematology & Oncology Physician compares to other specialties among New York providers

New York providers

Hematology & Oncology Physician share within New York

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within New York

Medicare quality performance — MIPS

ROCCO CARUSO, M.D.'s 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

High performer (top quartile)
MIPS Final Score
99.15/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 99.15/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Hematology & Oncology Physician) — 99.15/100 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).

ROCCO CARUSO, M.D. is a Hematology & Oncology Physician provider practicing in EAST SETAUKET, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1285630731. 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.

ROCCO CARUSO, M.D. appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding M.D. credentials at 235 N BELLE MEAD RD, EAST SETAUKET, NY, 11733, with a listed phone of (631) 751-3000. NPI 1285630731 was issued on 06/21/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARUSO 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 2,084 prescription claims written by this provider, covering 334 Medicare beneficiaries and totaling roughly $6.6 million in drug spend, with an opioid prescribing rate of 3.2%. 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 99.15/100 for the 2023 performance year, compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

235 N BELLE MEAD RD
EAST SETAUKET, NY 11733

Provider Details

NPI 1285630731
Specialty Hematology & Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 06/21/2005

CMS Quality Score (MIPS)

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

99.15
Final Score
Avg: 83.1
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ROCCO CARUSO, M.D. 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.

NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
STONY BROOK, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to ROCCO CARUSO, M.D.. To verify ROCCO CARUSO, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

2,084
Total Claims
$6.6M
Total Drug Cost
334
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,074
Total Day Supply
84,178
Generic Drug Cost
$425K
Opioid Claims
67 (3.2% rate)
Antibiotic Claims
80

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.86
Gender Split
70% female / 30% male
Age Distribution
<65: 26, 65-74: 101, 75-84: 157, 85+: 50

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Aranesp
Darbepoetin Alfa In Polysorbat
141
Eliquis
Apixaban
87
Letrozole
86
Prednisone
73
Warfarin Sodium
72
Procrit
Epoetin Alfa
71
Imbruvica
Ibrutinib
59
Anastrozole
56
Dexamethasone
47
Hydroxyurea
46

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hematology & Oncology Physician Overview

How ROCCO CARUSO, M.D. fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

ROCCO CARUSO, M.D.'s 2,084 claims are above the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as CARUSO.

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROCCO CARUSO, M.D.'s specialty?
ROCCO CARUSO, M.D. specializes in Hematology & Oncology Physician and practices in EAST SETAUKET, New York. Credentials: M.D..
How much does ROCCO CARUSO, M.D. prescribe under Medicare Part D?
In 2023, ROCCO CARUSO, M.D. wrote 2,084 Medicare Part D claims totaling $6.6M in drug costs for 334 beneficiaries.
What is ROCCO CARUSO, M.D.'s Medicare quality score?
ROCCO CARUSO, M.D. has a CMS MIPS Final Score of 99.15/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROCCO CARUSO, M.D. located?
ROCCO CARUSO, M.D. is located at 235 N BELLE MEAD RD, EAST SETAUKET, NY, 11733. Phone: (631) 751-3000.
What is ROCCO CARUSO, M.D.'s NPI number?
ROCCO CARUSO, M.D.'s National Provider Identifier (NPI) is 1285630731, issued on 06/21/2005.
Does ROCCO CARUSO, M.D. prescribe opioids?
Yes, ROCCO CARUSO, M.D. had 67 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does ROCCO CARUSO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROCCO CARUSO, M.D.'s most frequently prescribed drugs include Aranesp, Eliquis, Letrozole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROCCO CARUSO, M.D. accept Medicare?
ROCCO CARUSO, M.D. appears in CMS Medicare data with 2,084 Part D claims and 334 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROCCO CARUSO, M.D.'s credentials?
ROCCO CARUSO, M.D.'s NPI is 1285630731 with credentials M.D.. 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