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CARLOS OBLENA DATOR JR. MD
NPI 1114287158
Family Medicine in Oswego, NY

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment
110 W 6TH ST, OSWEGO, NY 13126(315) 349-5511 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlos Oblena Dator Jr. Md NPPES

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

CARLOS OBLENA DATOR JR. MD (NPI 1114287158) is an individual family medicine provider in Oswego, New York, licensed in New York (281672) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and maintains a secondary practice location in Oswego.

NPPES Registry Identity

NPI1114287158
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCARLOS OBLENA DATOR JR.Credential: MD
Location Address110 W 6TH STOswego, NY 13126-2507
Mailing Address110 W 6th StOswego, NY 13126-2507 · (315) 349-5511
Phone(315) 349-5511
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 24, 2012
Last NPPES UpdateMarch 7, 2019
✔ NPI 1114287158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 281672
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.
110 W 6TH ST, Oswego, NY 13126
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Secondary Practice Location 1

Location 1177 W 4th StOswego, NY 13126-3009 · Phone (315) 343-2151

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos Oblena Dator Jr. Md 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 ID2163732116
PECOS Enrollment IDI20151104000984
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.

Areas of Expertise CMS Part B claims 10

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
186 services162 patients
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.
145 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
121 services85 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
64 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services20 patients

Hospital Affiliations CMS Care Compare

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

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13126 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%99 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims24 services$10.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier27 claims30 services$48.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

REHAB RESOURCES
General Acute Care Hospital
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
RHONALDO AGUNG SILABAN MD
Emergency Medicine
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
MRS. AMIE ELLENE JOHNSON CRNA
Nurse Anesthetist, Certified Registered
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
MISS TAMMY ELIZABETH ENGLE N.P.
Nurse Practitioner (Adult Health)
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
MARIE REYES-JULIAN PT
Physical Therapist
110 W 6TH ST, 140
OSWEGO, NY 13126
Oswego County (315) 349-5558
MR. WAI-CHEUK RICHARD KUNG PT
Physical Therapist
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5558
PHILIP SMITH RD
Dietitian, Registered
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5511
DR. MARK K JACKSON M.D.
Radiology (Diagnostic Radiology)
110 W 6TH ST
OSWEGO, NY 13126
Oswego County (315) 349-5000

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 Carlos Dator's NPI number?

The NPI number for Carlos Dator is 1114287158. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Carlos Dator located?

Carlos Dator practices at 110 W 6th St, Oswego, NY 13126. The listed phone number is (315) 349-5511.

What is Carlos Dator's specialty?

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

Is Carlos Dator enrolled in Medicare?

Yes. Carlos Dator 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.

Is Carlos Dator affiliated with any hospitals?

According to CMS data, Carlos Dator is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Dator was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.