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DOMINICK J CARILLO M.D.
NPI 1336214469
Emergency Medicine - Emergency Medical Services in Glens Falls, NY

Active since November 22, 2006PECOS Enrolled
76.7/100
CMS Quality Rating
100 PARK ST, GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801(518) 926-3000(518) 926-3127 Get Directions Write a Review

NPPES record last updated: May 5, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dominick J Carillo M.d. NPPES

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

DOMINICK J CARILLO M.D. (NPI 1336214469) is an individual emergency medical services provider in Glens Falls, New York, licensed in New York (189110) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336214469
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameDOMINICK J CARILLOCredential: M.D.
Location Address100 PARK ST, GLENS FALLS HOSPITALGlens Falls, NY 12801-4413
Mailing Address100 Park St, Glens Falls Hospital - CredentialingGlens Falls, NY 12801-4413 · (518) 926-5100 · Fax (518) 926-6983
Phone(518) 926-3000
Fax(518) 926-3127
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateMay 5, 2017
✔ NPI 1336214469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in NY · 189110
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
100 PARK ST, Glens Falls, NY 12801
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND75982
Other70021AMedicare Part B
Medicare PING70133

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominick J Carillo M.d. 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

2

Medicare enrollment records show Dominick Carillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Albany Medical College
46 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600
Emergency Care Services Of New York, P.C.
128 mi
Emergency Medicine
301 PROSPECT AVE
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Emergency Care Services Of New York PC
  • 240 clinicians in this Medicare group
NPI 1639236656 (315) 448-5111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

LISBETH CAPLES RD,CDN
Dietitian, Registered
100 PARK ST
GLENS FALLS, NY 12801
Warren County (518) 926-1000
ISAAC JOHN RUMPF PHARMD, RPH
Pharmacist
100 PARK ST
GLENS FALLS, NY 12801
Warren County (518) 926-1000
DR. ALEX H FRANK MD
Radiology (Radiation Oncology)
100 PARK ST
GLENS FALLS, NY 12801
Warren County (518) 926-6670
MARGARET S CALIGIURI RN
Registered Nurse (Psychiatric/Mental Health, Adult)
100 PARK ST
GLENS FALLS, NY 12801
Warren County (518) 926-3210
MICHELLE L WATERS RPH
Pharmacist
100 PARK ST
GLENS FALLS, NY 12801
Warren County (518) 926-2540
PAULA J COLLINS RN
Registered Nurse (Psychiatric/Mental Health, Adult)
100 PARK ST
GLENS FALLS, NY 12801
Warren County (518) 926-3207
DR. MICHAEL PHILIP ANGELUCCI M.D.
Anesthesiology
100 PARK ST, GLENS FALLS HOSPITAL - DEPT OF ANESTHESIA
GLENS FALLS, NY 12801
Warren County (518) 926-1000
KRISTIN L WILLIFORD PA
Physician Assistant
100 PARK ST
GLENS FALLS, NY 12801
Warren County (518) 761-0300

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 Dominick Carillo's NPI number?

The NPI number for Dominick Carillo is 1336214469. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Dominick Carillo located?

Dominick Carillo practices at 100 Park St Glens Falls Hospital, Glens Falls, NY 12801. The listed phone number is (518) 926-3000.

What is Dominick Carillo's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Dominick Carillo enrolled in Medicare?

Yes. Dominick Carillo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dominick Carillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominick Carillo reassigns Medicare benefits to 2 organizations: Albany Medical College (Albany, NY) and Emergency Care Services Of New York, P.C. (Syracuse, 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 Dominick Carillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dominick Carillo was last updated on May 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.