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

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: August 02, 2026.

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

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
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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 (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.

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
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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. LAUREN ROBINSON M.D.
Psychiatry & Neurology (Psychiatry)
446 E ONTARIO ST STE 7-100
CHICAGO, IL 60611
Cook County (312) 926-8058
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

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.

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.