DR. CAROLINE KIERNAN LODATO MD
NPI 1609075324
Internal Medicine in Greenwich, CT

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
87.85/100
CMS Quality Rating
5 PERRYRIDGE RD, GREENWICH HOSPITAL, GREENWICH, CT 06830(203) 863-3840(203) 863-3467 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Caroline Kiernan Lodato Md NPPES

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

DR. CAROLINE KIERNAN LODATO MD (NPI 1609075324) is an individual internal medicine provider in Greenwich, Connecticut, licensed in Connecticut (051759) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2007).

NPPES Registry Identity

NPI1609075324
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CAROLINE KIERNAN LODATOCredential: MD
Location Address5 PERRYRIDGE RD, GREENWICH HOSPITALGreenwich, CT 06830-4697
Mailing Address5 Perryridge Rd, Greenwich HospitalGreenwich, CT 06830-4697 · (203) 863-3840 · Fax (203) 863-3467
Fax(203) 863-3467
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2007
Enumeration DateJuly 12, 2007
Last NPPES UpdateAugust 22, 2013
✔ NPI 1609075324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CT · 051759✔ Licensed in NH · 15760
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.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 051759 (CT)
5 PERRYRIDGE RD, Greenwich, CT 06830

Other Names 1

Former Name (1)Dr. Caroline Ann Kiernan Md

Accepted 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. Caroline Kiernan Lodato 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 ID1052551850
PECOS Enrollment IDI20130627000641
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

5

Medicare enrollment records show Caroline Lodato reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
5 PERRYRIDGE RD
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
General Acute Care Hospital
5 PERRYRIDGE RD
Greenwich, CT 06830
  • Reassigned Medicare billing, Connecticut enrollment
  • 268 clinicians in this Medicare group
Internal Medicine
8 W END AVE
Old Greenwich, CT 06870
  • Reassigned Medicare billing, Connecticut enrollment
  • 5 clinicians in this Medicare group
Internal Medicine
8 W END AVE
Old Greenwich, CT 06870
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
Specialist
24 STEVENS STREET
Norwalk, CT 06850
  • Reassigned Medicare billing, Connecticut enrollment
  • 8 clinicians in this Medicare group

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 14

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.
653 services236 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.
270 services164 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.
245 services208 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
171 services148 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
156 services85 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
96 services95 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06830 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.

87.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality94.29
Promoting Interoperability100
Improvement Activities40
Cost65.2

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
55%20 patients3/55-star benchmark: 100%
Breast Cancer Screening
78%313 patients4/55-star benchmark: 93%
Cervical Cancer Screening
3%225 patients1/55-star benchmark: 98%
Controlling High Blood Pressure
76%217 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%42 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%42 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
82%2,421 patients4/55-star benchmark: 100%
e-Prescribing
100%859 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%449 patients1/55-star benchmark: 100%
HIV Screening
7%351 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%708 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
30%492 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%987 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 4% · 681 patients
4%681 patients
Provide Patients Electronic Access to Their Health Information
89%419 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%169 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 460 patients
Patients totalRate: 4% · 471 patients
4%471 patients4/55-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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

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
3 suppliers17 claims18 services$62.92 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.

Pediatrics (Neonatal-Perinatal Medicine)
5 PERRYRIDGE RD
GREENWICH, CT 06830
Physical Medicine & Rehabilitation
5 PERRYRIDGE RD
GREENWICH, CT 06830
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE RD, MEDICAL EDUCATION
GREENWICH, CT 06830
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE RD
GREENWICH, CT 06830
Physician Assistant
5 PERRYRIDGE RD
GREENWICH, CT 06830
Pharmacist (Pharmacotherapy)
5 PERRYRIDGE RD
GREENWICH, CT 06830
Nurse Anesthetist, Certified Registered
5 PERRYRIDGE RD
GREENWICH, CT 06830
Anesthesiology
5 PERRYRIDGE RD
GREENWICH, CT 06830

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 Caroline Lodato's NPI number?

The NPI number for Caroline Lodato is 1609075324. It was assigned to this individual provider in the NPPES registry on July 12, 2007. The provider is also known as Dr. Caroline Ann Kiernan MD.

Where is Caroline Lodato located?

Caroline Lodato practices at 5 Perryridge Rd Greenwich Hospital, Greenwich, CT 06830. The listed phone number is (203) 863-3840.

What is Caroline Lodato's specialty?

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

Is Caroline Lodato enrolled in Medicare?

Yes. Caroline Lodato 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 organizations bill Medicare for Caroline Lodato's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Lodato reassigns Medicare benefits to 5 organizations: Mill Hill Medical Consultants Inc (Greenwich, CT), Greenwich Hospital (Greenwich, CT), Old Greenwich Medical Group LLC (Old Greenwich, CT), Rebecca Warkol MD LLC (Old Greenwich, CT) and Fairfield County Medical Services Inc (Norwalk, CT). 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 Caroline Lodato's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Lodato accept?

Health plans from Anthem Blue Cross and Blue Shield list Caroline Lodato 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.

When was this NPI record last updated?

The NPPES record for Caroline Lodato was last updated on August 22, 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.