2026 NPPES data Anatomic Pathology & Clinical Pathology Physician NPI 1982762563 M.D.
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VICTOR CARLO, M.D.

Anatomic Pathology & Clinical Pathology Physician in HATO REY, Puerto Rico. 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
12
Medicare Part D claims · Anatomic Pathology & Clinical Pathology Physician avg: 284
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$382.72
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: VICTOR CARLO, M.D. is a Anatomic Pathology & Clinical Pathology Physician ([object Object]) practicing in HATO REY, Puerto Rico with a Medicare Part D prescribing footprint of 12 claims . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $382.72 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: VICTOR CARLO, M.D. reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 12 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)

VICTOR CARLO, M.D. 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).

VICTOR CARLO, M.D. at a glance

Below national average

NPI registry status

Active

Issued 12/05/2006

NPI 1982762563

Primary specialty

Anatomic Pathology & Clinical Pathology Physician

Mid-sized

13,692 US NPIs in this specialty

Medicare Part D claims

12 96% vs specialty avg

2023 prescription claims

Specialty avg: 284

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Puerto Rico

How Anatomic Pathology & Clinical Pathology Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Anatomic Pathology & Clinical Pathology Physician share within Puerto Rico

1. Anatomic Pathology & Clinical Pathology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Anatomic Pathology & Clinical Pathology Physician share within Puerto Rico

Medicare quality performance — MIPS

VICTOR CARLO, M.D.'s 2023 MIPS final score plotted against the Anatomic Pathology & Clinical Pathology Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Anatomic Pathology & Clinical Pathology Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Anatomic Pathology & Clinical Pathology Physician) — 0/100 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).

VICTOR CARLO, M.D. is a Anatomic Pathology & Clinical Pathology Physician provider practicing in HATO REY, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1982762563. 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.

VICTOR CARLO, M.D. appears in the CMS NPPES registry as a Anatomic Pathology & Clinical Pathology Physician provider holding M.D. credentials at 735 AVE PONCE DE LEON, HATO REY, PR, 00917, with a listed phone of (787) 767-5151. NPI 1982762563 was issued on 12/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARLO 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 12 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $299 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Anatomic Pathology & Clinical Pathology Physician is a mid-sized specialty nationwide, with 13,692 enrolled providers across 55 states and an average of 284 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

735 AVE PONCE DE LEON
HATO REY, PR 00917

Provider Details

NPI 1982762563
Specialty Anatomic Pathology & Clinical Pathology Physician
Credentials M.D.
Gender Male
NPI Issued 12/05/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for VICTOR CARLO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$383

Largest payer

Janssen Pharmaceuticals, Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

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

12
Total Claims
$299
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12
Total Day Supply
335
Generic Drug Cost
$233

Patient Demographics

Average Patient Age
80.0 years
Avg HCC Risk Score
0.40

Anatomic Pathology & Clinical Pathology Physician Overview

How VICTOR CARLO, M.D. fits within the Anatomic Pathology & Clinical Pathology Physician landscape nationally.

13,692
Anatomic Pathology & Clinical Pathology Physician Providers in US
55
States with Anatomic Pathology & Clinical Pathology Physician
284
Avg Claims per Provider

VICTOR CARLO, M.D.'s 12 claims are below the specialty average of 284.

Nearby Anatomic Pathology & Clinical Pathology Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as CARLO.

Compare Anatomic Pathology & Clinical Pathology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is VICTOR CARLO, M.D.'s specialty?
VICTOR CARLO, M.D. specializes in Anatomic Pathology & Clinical Pathology Physician and practices in HATO REY, Puerto Rico. Credentials: M.D..
How much does VICTOR CARLO, M.D. prescribe under Medicare Part D?
In 2023, VICTOR CARLO, M.D. wrote 12 Medicare Part D claims totaling $299 in drug costs for N/A beneficiaries.
What is VICTOR CARLO, M.D.'s Medicare quality score?
VICTOR CARLO, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VICTOR CARLO, M.D. located?
VICTOR CARLO, M.D. is located at 735 AVE PONCE DE LEON, HATO REY, PR, 00917. Phone: (787) 767-5151.
What is VICTOR CARLO, M.D.'s NPI number?
VICTOR CARLO, M.D.'s National Provider Identifier (NPI) is 1982762563, issued on 12/05/2006.
How many Anatomic Pathology & Clinical Pathology Physician providers are there in the US?
There are 13,692 Anatomic Pathology & Clinical Pathology Physician providers across 55 states in the US. The average Anatomic Pathology & Clinical Pathology Physician provider writes 284 Medicare Part D claims per year.
Does VICTOR CARLO, M.D. accept Medicare?
VICTOR CARLO, M.D. appears in CMS Medicare data with 12 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 VICTOR CARLO, M.D.'s credentials?
VICTOR CARLO, M.D.'s NPI is 1982762563 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