CARLOS OBLENA DATOR JR. MD
NPI 1114287158
Family Medicine in Oswego, NY
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
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Carlos Dator reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oswego, NY 13126
- Reassigned Medicare billing, New York enrollment
- 122 clinicians in this Medicare group
Oswego, NY 13126
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Oswego, NY 13126
- Reassigned Medicare billing, New York enrollment
- 3 clinicians in this Medicare group
Cortland, NY 13045
- Reassigned Medicare billing, New York enrollment
- 37 clinicians in this Medicare group
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 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.
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, NYPhysician 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.
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
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.
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.
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.
Which organizations bill Medicare for Carlos Dator's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Dator reassigns Medicare benefits to 4 organizations: Oswego Hospital (Oswego, NY), Carmen Bautista-Dator MD PC (Oswego, NY), Dator Medical PLLC (Oswego, NY) and Pons Physician Services, PLLC (Cortland, NY). 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 Carlos Dator's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Carlos Oblena Dator Jr., MD · NPI 1114287158
Family Medicine physician in Oswego, New York. Individual provider, active in the CMS NPPES registry since May 24, 2012.
## Identity
- **NPI:** 1114287158 (Entity type: Individual)
- **Enumerated:** May 24, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 281672 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 110 W 6TH ST, Oswego, NY 13126-2507
- **Phone:** (315) 349-5511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Oswego Hospital (NPI 1255639043, Oswego, NY); Carmen Bautista-Dator MD PC (NPI 1912066242, Oswego, NY); Dator Medical PLLC (NPI 1841172368, Oswego, NY); Pons Physician Services, PLLC (NPI 1457732554, Cortland, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 7, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114287158) · Data from the CMS NPPES public registry.