1. Home
  2. Directory
  3. Michigan
  4. North Branch
  5. Family Medicine
  6. NPI Profile

ANTONIO DICARLO
NPI 1023631785
Family Medicine in North Branch, MI

Active since May 28, 2020PECOS EnrolledAccepts Medicare Assignment
4000 HURON ST, NORTH BRANCH, MI 48461(810) 688-3048(877) 848-0921 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2023, May 28, 2020 (2 updates tracked since 2020).

About Antonio Dicarlo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO DICARLO (NPI 1023631785) is an individual family medicine provider in North Branch, Michigan, licensed in Michigan (4351046094) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Hills & Dales General Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023631785
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTONIO DICARLO
Location Address4000 HURON STNorth Branch, MI 48461-8664
Mailing Address4000 Huron StNorth Branch, MI 48461-8664 · (810) 688-3048 · Fax (877) 848-0921
Phone(810) 688-3048
Fax(877) 848-0921
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 28, 2020
Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1023631785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4351046094
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4000 HURON ST, North Branch, MI 48461
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonio Dicarlo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143648758
PECOS Enrollment IDI20230804003402
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Antonio Dicarlo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marlette Regional Hospital
Same address
Family Medicine
4000 HURON ST
North Branch, MI 48461
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1043911449 (Michigan)
  • 7 clinicians in this Medicare group
NPI 1871797571 (810) 688-3048
Hills & Dales General Hospital, Inc.
26 mi
Psychiatry
4624 HILL ST
Cass City, MI 48726
  • Reassigned Medicare billing, Michigan enrollment
  • 156 clinicians in this Medicare group
NPI 1952120859 (989) 872-2121
Deckerville Community Hospital, Inc.
31 mi
Family Medicine
3532 MAIN ST
Deckerville, MI 48427
  • Reassigned Medicare billing, Michigan enrollment
  • 154 clinicians in this Medicare group
NPI 1164818977 (810) 376-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hills & Dales General Hospital

Critical Access Hospitals · Cass City, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231316
Location4675 Hill StreetCass City, MI 48726 · Tuscola County
Emergency services

Marlette Regional Hospital

Critical Access Hospitals · Marlette, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231330
Location2770 Main StreetMarlette, MI 48453 · Sanilac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM J STARBIRD MD
Family Medicine
4000 HURON ST
NORTH BRANCH, MI 48461
Lapeer County (810) 688-3048
ANITA M SCHIERLINGER NP
Nurse Practitioner
4000 HURON ST
NORTH BRANCH, MI 48461
Lapeer County (810) 688-3048
NORTH BRANCH HEALTHCARE
General Acute Care Hospital (Critical Access)
4000 HURON ST
NORTH BRANCH, MI 48461
Lapeer County (810) 688-3048
MARLETTE REGIONAL HOSPITAL
Family Medicine
4000 HURON ST
NORTH BRANCH, MI 48461
Lapeer County (810) 688-3048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Dicarlo's NPI number?

The NPI number for Antonio Dicarlo is 1023631785. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Antonio Dicarlo located?

Antonio Dicarlo practices at 4000 Huron St, North Branch, MI 48461. The listed phone number is (810) 688-3048.

What is Antonio Dicarlo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Antonio Dicarlo enrolled in Medicare?

Yes. Antonio Dicarlo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Antonio Dicarlo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Dicarlo reassigns Medicare benefits to 3 organizations: Marlette Regional Hospital (North Branch, MI), Hills & Dales General Hospital, Inc. (Cass City, MI) and Deckerville Community Hospital, Inc. (Deckerville, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Dicarlo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Dicarlo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Antonio Dicarlo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Antonio Dicarlo affiliated with any hospitals?

According to CMS data, Antonio Dicarlo is affiliated with Hills & Dales General Hospital and Marlette Regional Hospital.

When was this NPI record last updated?

The NPPES record for Antonio Dicarlo was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.