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MICHAEL F CARL DO
NPI 1164413241
Internal Medicine in Garden City, NY

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
1000 FRANKLIN AVE, SUITE300, GARDEN CITY, NY 11530(516) 248-6868(516) 248-6841 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael F Carl Do NPPES

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

MICHAEL F CARL DO (NPI 1164413241) is an individual internal medicine provider in Garden City, New York, licensed in New York (189556) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1991).

NPPES Registry Identity

NPI1164413241
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL F CARLCredential: DO
Location Address1000 FRANKLIN AVE, SUITE300Garden City, NY 11530-2926
Mailing Address1000 Franklin Ave, Suite 300Garden City, NY 11530-2926 · (516) 248-6868 · Fax (516) 248-6841
Phone(516) 248-6868
Fax(516) 248-6841
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1991
Enumeration DateOctober 28, 2005
Last NPPES UpdateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1164413241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 189556
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1000 FRANKLIN AVE, Garden City, NY 11530
Open in Google Maps ↗

Other Identifiers 1

Medicaid01836873NY

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

Michael F Carl Do 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 ID5890827778
PECOS Enrollment IDI20100712000332
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 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.
504 services274 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.
264 services231 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.
204 services194 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
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
141 services86 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
120 services120 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers40 claims112 services$5.35 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers17 claims29 services$1.01 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 supplier12 claims12 services$68.09 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.61 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 12

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

DR. A JOSEPH PISCIOTTO
Family Medicine
1000 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (718) 386-9876
JUNG H YOUN MD
Internal Medicine
1000 FRANKLIN AVE, SUITE 300
GARDEN CITY, NY 11530
Nassau County (516) 248-6868
JOHN L GOMES M.D.
Obstetrics & Gynecology
1000 FRANKLIN AVE, SUITE 200
GARDEN CITY, NY 11530
Nassau County (516) 222-8883
ARIANNA LANZETTA
Nurse Practitioner (Pediatrics)
1000 FRANKLIN AVE, SUITE 100
GARDEN CITY, NY 11530
Nassau County (516) 248-8334
DAWN FOCAZIO
Nurse Practitioner (Family)
1000 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 222-8883
DR. DAVID FRANKLIN SEYBURN MD
Internal Medicine
1000 FRANKLIN AVE, SUITE 300
GARDEN CITY, NY 11530
Nassau County (516) 248-6868
WINTHROP COMMUNITY MEDICAL AFFILIATES, PC
Internal Medicine
1000 FRANKLIN AVE, SUITE 300
GARDEN CITY, NY 11530
Nassau County (516) 248-6868
WINTHROP COMMUNITY MEDICAL AFFILIATES, P.C.
Pediatrics
1000 FRANKLIN AVE, SUITE 100
GARDEN CITY, NY 11530
Nassau County (516) 248-8334

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 Michael Carl's NPI number?

The NPI number for Michael Carl is 1164413241. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Michael Carl located?

Michael Carl practices at 1000 Franklin Ave Suite300, Garden City, NY 11530. The listed phone number is (516) 248-6868.

What is Michael Carl's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Carl enrolled in Medicare?

Yes. Michael Carl 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 Michael Carl affiliated with any hospitals?

According to CMS data, Michael Carl is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Michael Carl was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.