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.
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.
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 averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Puerto Rico
How Anatomic Pathology & Clinical Pathology Physician compares to other specialties among Puerto Rico providers
Anatomic Pathology & Clinical Pathology Physician share within Puerto Rico
Anatomic Pathology & Clinical Pathology Physician is one of the more visible NUCC categories in Puerto Rico
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
VICTOR CARLO, M.D.'s 2023 MIPS final score plotted against the Anatomic Pathology & Clinical Pathology Physician 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Anatomic Pathology & Clinical Pathology Physician US NPIs
0/100 MIPS final score — 83.1 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Anatomic Pathology & Clinical Pathology Physician. Quality dim: 0.
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
Provider Details
| NPI | 1982762563 |
|---|---|
| Specialty | Anatomic Pathology & Clinical Pathology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 12/05/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm VICTOR CARLO, M.D.'s current license status, disciplinary history, and board certifications directly with the licensing state's medical board before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
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.
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.
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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore Puerto Rico
Frequently Asked Questions
What is VICTOR CARLO, M.D.'s specialty? ▼
How much does VICTOR CARLO, M.D. prescribe under Medicare Part D? ▼
What is VICTOR CARLO, M.D.'s Medicare quality score? ▼
Where is VICTOR CARLO, M.D. located? ▼
What is VICTOR CARLO, M.D.'s NPI number? ▼
How many Anatomic Pathology & Clinical Pathology Physician providers are there in the US? ▼
Does VICTOR CARLO, M.D. accept Medicare? ▼
How can I verify VICTOR CARLO, M.D.'s credentials? ▼
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