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DR. CARLOS A PALACIO M.D.
NPI 1346286929
Specialist in Portsmouth, NH

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
330 BORTHWICK AVE, SUITE 108, PORTSMOUTH, NH 03801(603) 433-4666(603) 433-1338 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carlos A Palacio M.d. NPPES

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

DR. CARLOS A PALACIO M.D. (NPI 1346286929) is an individual specialist in Portsmouth, New Hampshire, licensed in New Hampshire (7415) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with York Hospital, and is a graduate of Northwestern University Feinberg Medical School (1976).

NPPES Registry Identity

NPI1346286929
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. CARLOS A PALACIOCredential: M.D.
Location Address330 BORTHWICK AVE, SUITE 108Portsmouth, NH 03801-4174
Mailing Address330 Borthwick Ave, Suite 108Portsmouth, NH 03801-4174 · (603) 433-4666 · Fax (603) 433-1338
Phone(603) 433-4666
Fax(603) 433-1338
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1976
Enumeration DateJune 21, 2006
Last NPPES UpdateFebruary 8, 2022
✔ NPI 1346286929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NH · 7415
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
330 BORTHWICK AVE, Portsmouth, NH 03801
Open in Google Maps ↗

Other Identifiers 1

Medicaid80009453NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos A Palacio 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 ID1759464126
PECOS Enrollment IDI20080207000516
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 Reassignment

Medicare enrollment records show Carlos Palacio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Appledore Medical Group, Inc
0.6 mi
Internal Medicine
100 EILEEN DONDERO FOLEY AVE STE 300
Portsmouth, NH 03801
  • Reassigned Medicare billing, New Hampshire enrollment
  • 185 clinicians in this Medicare group
NPI 1720077167 (603) 436-6115

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 4

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.
51 services33 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.
29 services29 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.
26 services20 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Concord Hospital- Laconia

Acute Care Hospitals · Laconia, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300005
Location80 Highland StLaconia, NH 03246 · Belknap County
Emergency services

Frisbie Memorial Hospital

Acute Care Hospitals · Rochester, NH
2/5 CMS rating
OwnershipProprietary
CMS Certification Number300014
Location11 Whitehall RoadRochester, NH 03867 · Strafford County
Emergency services

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300023
Location5 Alumni DriveExeter, NH 03833 · Rockingham County
Emergency services Birthing friendly

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

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.

Reported Quality Measures

Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
3%240 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
84%25 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
88%1,648 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
59%326 patients1/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
77%268 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
9%398 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%453 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
80%766 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
46%359 patients3/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%766 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
52%766 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 253 patients
1%253 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
9%766 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

VICTOR KIM M.D.
Surgery
330 BORTHWICK AVE
PORTSMOUTH, NH 03801
Rockingham County (603) 431-5242
DR. HENRY F. PALLATRONI III MD
Neurological Surgery
330 BORTHWICK AVE, SUITE 300
PORTSMOUTH, NH 03801
Rockingham County (603) 433-4666
JAMES G. DINULOS M.D.
Dermatology
330 BORTHWICK AVE, SUITE 303
PORTSMOUTH, NH 03801
Rockingham County (603) 431-5205
MS. ANNE MCGANN A.R.N.P.
Nurse Practitioner (Pediatrics)
330 BORTHWICK AVE, SUITE 202
PORTSMOUTH, NH 03801
Rockingham County (603) 436-7171
PISCATAQUA PLASTIC SURGERY, PA
Plastic Surgery
330 BORTHWICK AVE, STE 206
PORTSMOUTH, NH 03801
Rockingham County (603) 431-5488
THOMAS P CLAIRMONT JR. MD
Internal Medicine
330 BORTHWICK AVE, SUITE 205
PORTSMOUTH, NH 03801
Rockingham County (603) 436-6115
EYESIGHT OPHTHALMIC SERVICES PA
Ophthalmology
330 BORTHWICK AVE, SUITE 307
PORTSMOUTH, NH 03801
Rockingham County (603) 436-1773
PORTSMOUTH PRIMARY CARE ASSO
Internal Medicine
330 BORTHWICK AVE, SUITE 210
PORTSMOUTH, NH 03801
Rockingham County (603) 436-5455

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 Carlos Palacio's NPI number?

The NPI number for Carlos Palacio is 1346286929. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Carlos Palacio located?

Carlos Palacio practices at 330 Borthwick Ave Suite 108, Portsmouth, NH 03801. The listed phone number is (603) 433-4666.

What is Carlos Palacio's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Carlos Palacio enrolled in Medicare?

Yes. Carlos Palacio 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.

Which organization bills Medicare for Carlos Palacio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Palacio reassigns Medicare benefits to Appledore Medical Group, Inc (Portsmouth, NH). The 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 Carlos Palacio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Palacio accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Carlos Palacio 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.

Is Carlos Palacio affiliated with any hospitals?

According to CMS data, Carlos Palacio is affiliated with York Hospital, Concord Hospital- Laconia, Frisbie Memorial Hospital, Exeter Hospital Inc and Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Palacio was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.