DR. ANDREW DAVID CARLO MD, MPH
NPI 1265870349
Psychiatry & Neurology - Psychiatry in Chicago, IL

Q: What is Andrew Carlo's NPI number?

The NPI number for Andrew Carlo is 1265870349. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Q: What is Andrew Carlo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Carlo was last updated on May 13, 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.

Active since June 11, 2013PECOS Enrolled

94.1/100

CMS Quality Rating

446 E ONTARIO ST STE 7-100, CHICAGO, IL 60611(312) 695-5060(312) 695-5010 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2021, Oct 27, 2020, Aug 7, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Andrew David Carlo Md, Mph NPPES

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

DR. ANDREW DAVID CARLO MD, MPH (NPI 1265870349) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (036151723) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265870349

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. ANDREW DAVID CARLOCredential: MD, MPH

Location Address446 E ONTARIO ST STE 7-100Chicago, IL 60611-4418

Mailing Address446 E Ontario St Ste 7-100Chicago, IL 60611-4418 · (312) 695-5060 · Fax (312) 695-5010

Phone(312) 695-5060

Fax(312) 695-5010

Sole ProprietorNo

Enumeration DateJune 11, 2013

Last NPPES UpdateMay 13, 20214 updates tracked since enumeration

NPPES CertifiedMay 13, 2021

✔ NPI 1265870349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IL · 036151723

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

446 E ONTARIO ST STE 7-100, Chicago, IL 60611

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew David Carlo Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Andrew Carlo reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group

12 mi

Allergy & Immunology

1000 CENTRAL ST
Evanston, IL 60201

Reassigned Medicare billing, Illinois enrollment
4,841 clinicians in this Medicare group

NPI 1497701882 (847) 570-5235

Wellbe Senior Medical Illinois PC

24 mi

Internal Medicine

550 WARRENVILLE RD STE 300
Lisle, IL 60532

Reassigned Medicare billing, Illinois enrollment
37 clinicians in this Medicare group

NPI 1306499363 (855) 490-5434

Wellbe Senior Medical Ohio LLC

311 mi

Geriatric Medicine

6480 ROCKSIDE WOODS BLVD S STE 330
Independence, OH 44131

Reassigned Medicare billing, Ohio enrollment
41 clinicians in this Medicare group

NPI 1497308456 (312) 776-2410

Wellbe Senior Medical Group Of Pennsylvania PC

410 mi

Internal Medicine

1001 LIBERTY AVE STE 5
Pittsburgh, PA 15222

Reassigned Medicare billing, Pennsylvania enrollment
66 clinicians in this Medicare group

NPI 1255089132 (855) 706-5387

Wellbe Senior Medical Group Of Georgia, P. C.

569 mi

Internal Medicine

5 CONCOURSE PKWY STE 3100
Sandy Springs, GA 30328

Reassigned Medicare billing, Georgia enrollment
45 clinicians in this Medicare group

NPI 1205463163 (855) 492-7642

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

49 services20 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

38 services12 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.

30 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

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.

94.1/100

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

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

EUGENE MICHAEL COZZA

Psychiatry & Neurology (Psychiatry)

446 E ONTARIO ST STE 7-100
CHICAGO, IL 60611

Cook County (312) 695-5060

MR. GARRETT RAUBOLT MSW, LCSW

Social Worker (Clinical)

446 E ONTARIO ST STE 7-100
CHICAGO, IL 60611

Cook County (312) 695-5060

ERICA COTTON PSYD

Psychologist (Clinical)

446 E ONTARIO ST STE 7-100
CHICAGO, IL 60611

Cook County (312) 695-1829

DR. EVAN HAYWARD GOULDING M.D., PH.D.

Psychiatry & Neurology (Psychiatry)

446 E ONTARIO ST STE 7-100
CHICAGO, IL 60611

Cook County (312) 695-5060

DR. DANIELA RAKOCEVIC

Psychiatry & Neurology (Psychiatry)

446 E ONTARIO ST STE 7-100
CHICAGO, IL 60611

Cook County (312) 695-5060

MELISSA-ANN MACKIE PHD

Clinical Neuropsychologist

446 E ONTARIO ST STE 7-100, STONE INSITUTE
CHICAGO, IL 60611

Cook County (312) 695-5060

TRACY FEHRENBACH PH.D.

Psychologist (Clinical)

446 E ONTARIO ST STE 7-100
CHICAGO, IL 60611

Cook County (312) 695-5060

DR. CHRISTINA BOISSEAU PHD

Psychologist (Clinical)

446 E ONTARIO ST STE 7-100
CHICAGO, IL 60611

Cook County (312) 695-5060

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 Andrew Carlo's NPI number?

The NPI number for Andrew Carlo is 1265870349. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Andrew Carlo located?

Andrew Carlo practices at 446 E Ontario St Ste 7-100, Chicago, IL 60611. The listed phone number is (312) 695-5060.

What is Andrew Carlo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Andrew Carlo enrolled in Medicare?

Yes. Andrew Carlo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrew Carlo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Carlo reassigns Medicare benefits to 5 organizations: Endeavor Health Medical Group (Evanston, IL), Wellbe Senior Medical Illinois PC (Lisle, IL), Wellbe Senior Medical Ohio LLC (Independence, OH), Wellbe Senior Medical Group Of Pennsylvania PC (Pittsburgh, PA) and Wellbe Senior Medical Group Of Georgia, P. C. (Sandy Springs, GA). 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 Andrew Carlo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Carlo accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Andrew Carlo 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.

When was this NPI record last updated?

The NPPES record for Andrew Carlo was last updated on May 13, 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.