DR. GIANCARLO DE CAROLIS M.D.
NPI 1144614348
Family Medicine in Babylon, NY

Q: What is Giancarlo De Carolis's NPI number?

The NPI number for Giancarlo De Carolis is 1144614348. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Q: What is Giancarlo De Carolis's specialty?

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

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

500 W MAIN ST, BABYLON, NY 11702(631) 587-7733 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Giancarlo De Carolis M.d. NPPES

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

DR. GIANCARLO DE CAROLIS M.D. (NPI 1144614348) is an individual family medicine provider in Babylon, New York, licensed in New York (294633) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1144614348

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GIANCARLO DE CAROLISCredential: M.D.

Location Address500 W MAIN STBabylon, NY 11702

Mailing Address500 W Main StBabylon, NY 11702-3027 · (631) 587-7733

Phone(631) 587-7733

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 25, 2015

Last NPPES UpdateAugust 9, 2018

✔ NPI 1144614348 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 · 294633

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.

500 W MAIN ST, Babylon, NY 11702

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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

Dr. Giancarlo De Carolis M.d. 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 ID8820347800

PECOS Enrollment IDI20180824000297

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 11

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.

570 services321 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.

545 services366 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.

176 services176 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

60 services58 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

53 services52 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

52 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 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.

18 services17 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

18 services18 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

15 services15 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330043

Location301 East Main StreetBay Shore, NY 11706 · Suffolk County

Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330106

Location300 Community DriveManhasset, NY 11030 · Nassau County

Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330195

Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County

Emergency services Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11702 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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.

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$16.47 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers12 claims12 services$23.87 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.

MARION B ROSE M.D.

Pediatrics (Pediatric Cardiology)

500 W MAIN ST, SUITE 204
BABYLON, NY 11702

Suffolk County (631) 539-5400

MR. MATTHEW SCOTT WEITZMAN M.S., L.AC.

Acupuncturist

500 W MAIN ST, SUITE 116
BABYLON, NY 11702

Suffolk County (917) 232-5527

DR. CRAIG SHALMI M.D.

Anesthesiology (Pain Medicine)

500 W MAIN ST, SUITE 116
BABYLON, NY 11702

Suffolk County (631) 422-6166

DANIEL J KOHANE M.D.

Pain Medicine (Interventional Pain Medicine)

500 W MAIN ST, SUITE 116
BABYLON, NY 11702

Suffolk County (631) 422-6166

SUNIL DAVID ALBERT M.D.

Pain Medicine (Interventional Pain Medicine)

500 W MAIN ST, SUITE 116
BABYLON, NY 11702

Suffolk County (631) 422-6166

DR. SILVIA GINA GERACI D.O.

Physical Medicine & Rehabilitation

500 W MAIN ST, SUITE 116
BABYLON, NY 11702

Suffolk County (631) 422-6166

NEUROPSYCHOLOGIC ASSOCIATES, PLLC

Clinical Neuropsychologist

500 W MAIN ST, SUITE 208
BABYLON, NY 11702

Suffolk County (631) 482-1200

MRS. BARBARA MURPHY SOMERS FNP-C

Nurse Practitioner (Family)

500 W MAIN ST, SUITE 116
BABYLON, NY 11702

Suffolk County (631) 422-6166

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 Giancarlo De Carolis's NPI number?

The NPI number for Giancarlo De Carolis is 1144614348. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Giancarlo De Carolis located?

Giancarlo De Carolis practices at 500 W Main St, Babylon, NY 11702. The listed phone number is (631) 587-7733.

What is Giancarlo De Carolis's specialty?

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

Is Giancarlo De Carolis enrolled in Medicare?

Yes. Giancarlo De Carolis 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 Giancarlo De Carolis affiliated with any hospitals?

According to CMS data, Giancarlo De Carolis is affiliated with Ns/Lij Hs Southside Hospital, North Shore University Hospital, Long Island Jewish Medical Center and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Giancarlo De Carolis was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.