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CARLOS S ALMEIDA MD
NPI 1588633036
Internal Medicine in Prospect, CT

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment
166 WATERBURY RD, STE 300, PROSPECT, CT 06712(203) 758-0878(203) 758-0877 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carlos S Almeida Md NPPES

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

CARLOS S ALMEIDA MD (NPI 1588633036) is an individual internal medicine provider in Prospect, Connecticut, licensed in Connecticut (043488) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2002).

NPPES Registry Identity

NPI1588633036
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARLOS S ALMEIDACredential: MD
Location Address166 WATERBURY RD, STE 300Prospect, CT 06712
Mailing Address166 Waterbury Rd, Ste 300Prospect, CT 06712 · (203) 758-0878 · Fax (203) 758-0877
Phone(203) 758-0878
Fax(203) 758-0877
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2002
Enumeration DateMarch 16, 2006
Last NPPES UpdateOctober 12, 2021
NPPES CertifiedOctober 12, 2021
✔ NPI 1588633036 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 · 043488
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.
166 WATERBURY RD, Prospect, CT 06712
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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 and accepts Medicare assignment

Carlos S Almeida 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 ID2567495633
PECOS Enrollment IDI20050919000359
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 10

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.
359 services200 patients
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.
148 services96 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.
123 services123 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
89 services89 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
86 services86 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
36 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06712 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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
49%179 patients2/55-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 4

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
13 suppliers53 claims91 services$5.86 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims16 services$0.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$55.13 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims682 services$0.02 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 20

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

JENNY AMOS-AFFUL
Nurse Practitioner (Family)
166 WATERBURY RD
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 709-5300
JAMES G UBERTI MD
Internal Medicine
166 WATERBURY RD, STE 300
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-0878
GREATER WATERBURY RETINA, LLC
Ophthalmology
166 WATERBURY RD, SUITE 201
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-5733
PRIMARY CARE PARTNERS, PC
Internal Medicine
166 WATERBURY RD, SUITE 300
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-0878
MR. TOBY LEE MACDONALD MSPT
Physical Therapist
166 WATERBURY RD
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-4118
KRISTEN MARIE LAMADELEINE ATHLETIC TRAINER
Specialist/Technologist (Athletic Trainer)
166 WATERBURY RD
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-4118
EZ PHARM LLC
Pharmacy (Community/Retail Pharmacy)
166 WATERBURY RD
PROSPECT, CT 06712
Naugatuck Valley Planning Region (860) 284-0020
ALEXANDER J ALVAREZ M.D.
Internal Medicine
166 WATERBURY RD, STE 300
PROSPECT, CT 06712
Naugatuck Valley Planning Region (203) 758-0878

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 Almeida's NPI number?

The NPI number for Carlos Almeida is 1588633036. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Carlos Almeida located?

Carlos Almeida practices at 166 Waterbury Rd Ste 300, Prospect, CT 06712. The listed phone number is (203) 758-0878.

What is Carlos Almeida's specialty?

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

Is Carlos Almeida enrolled in Medicare?

Yes. Carlos Almeida 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.

When was this NPI record last updated?

The NPPES record for Carlos Almeida was last updated on October 12, 2021. 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.