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MR. CARLOS SCHWEITZER MD
NPI 1467548750
Internal Medicine in Derby, CT

Active since October 05, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 07D0095853 · Waiver
97.27/100
CMS Quality Rating
300 SEYMOUR AVENUE, DERBY, CT 06418(203) 736-2645(203) 736-0513 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Carlos Schweitzer Md NPPES

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

MR. CARLOS SCHWEITZER MD (NPI 1467548750) is an individual internal medicine provider in Derby, Connecticut, licensed in Connecticut (019870) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 29, 2027, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1467548750
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. CARLOS SCHWEITZERCredential: MD
Location Address300 SEYMOUR AVENUEDerby, CT 06418
Mailing Address300 Seymour AvenueDerby, CT 06418 · (203) 736-2645 · Fax (203) 736-0513
Phone(203) 736-2645
Fax(203) 736-0513
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateOctober 5, 2006
Last NPPES UpdateApril 25, 2013
✔ NPI 1467548750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 019870
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.
300 SEYMOUR AVENUE, Derby, CT 06418
Open in Google Maps ↗

Other Identifiers 8

Medicaid1198704CT
OtherP745492CT · Oxford
Medicare PIN290000049CT
Other000254Health Net
Other019870CT · Connecticare
Other010019870CT01CT · Bcbs
Other0163975Cigna
Medicare UPIND02951

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

Mr. Carlos Schweitzer Md 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 ID2961691746
PECOS Enrollment IDI20110110000405
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0095853

Carlos Schweitzer MD · Derby, CT
Active · expires Nov 29, 2027
CLIA Number07D0095853
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorCarlos Schweitzer
Laboratory Phone(203) 736-2645
Laboratory LocationCarlos Schweitzer MD300 Seymour Ave, Derby, CT 06418
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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 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.
300 services165 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
240 services37 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
71 services51 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.
71 services71 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
57 services53 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
28 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06418 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
89%1,546 patients1/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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
9 suppliers42 claims91 services$6.09 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims22 services$1.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$11.94 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$3.47 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
2 suppliers25 claims25 services$13.60 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
2 suppliers30 claims35 services$12.35 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

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

DR. ALVIN ALFREDO GIL VENTURA MD
Family Medicine
300 SEYMOUR AVENUE, 130 DIVISION
ORANGE, CT 06418
Naugatuck Valley Planning Region (646) 445-9983

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 Schweitzer's NPI number?

The NPI number for Carlos Schweitzer is 1467548750. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Carlos Schweitzer located?

Carlos Schweitzer practices at 300 Seymour Avenue, Derby, CT 06418. The listed phone number is (203) 736-2645.

What is Carlos Schweitzer's specialty?

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

Is Carlos Schweitzer enrolled in Medicare?

Yes. Carlos Schweitzer 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.

Does Carlos Schweitzer hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0095853) is associated with this NPI, valid through November 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carlos Schweitzer was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.