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DR. KRISTEN ELIZABETH DECARLO M.D.
NPI 1982042214
Internal Medicine - Endocrinology, Diabetes & Metabolism in New York, NY

Active since June 09, 2013PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
423 E 23RD ST, NEW YORK, NY 10010(212) 686-7500 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Feb 24, 2025, Dec 28, 2018, Nov 18, 2015 (3 updates tracked since 2015).

About Dr. Kristen Elizabeth Decarlo M.d. NPPES

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

DR. KRISTEN ELIZABETH DECARLO M.D. (NPI 1982042214) is an individual endocrinology, diabetes & metabolism provider in New York, New York, licensed in Illinois (036143295) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1982042214
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KRISTEN ELIZABETH DECARLOCredential: M.D.
Location Address423 E 23RD STNew York, NY 10010-5011
Mailing Address675 N Saint Clair St Ste 14-100Chicago, IL 60611-5966 · (312) 695-7970 · Fax (312) 695-4433
Phone(212) 686-7500
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2013
Enumeration DateJune 9, 2013
Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1982042214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in IL · 036143295
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036143295 (IL), 280536-1 (NY)
423 E 23RD ST, New York, NY 10010
Open in Google Maps ↗

Secondary Practice Location 1

Location 11801 W Taylor StChicago, IL 60612-4795 · Phone (312) 413-0378

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

Dr. Kristen Elizabeth Decarlo 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 ID3971849894
PECOS Enrollment IDI20200528001384
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 8

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.

Interpretation of trabecular bone score (tbs) and report on fracture risk 77092
The Trabecular Bone Score (TBS) is a tool that helps evaluate your bone health. It looks at the texture of your bones, which can indicate their strength. The results, combined with other tests, help assess your risk of future fractures.
295 services295 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
294 services294 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.
65 services57 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.
29 services27 patients
Dxa bone density measurement of forearm, finger, hand, or foot 77081
A DXA bone density measurement of the forearm, finger, hand, or foot is a non-invasive procedure that uses X-rays to measure the amount of calcium and other minerals in your bones. This test helps to assess the strength of your bones and your risk of fractures.
21 services21 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

Referred Medical Equipment & Supplies CMS DME claims 3

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 suppliers35 claims91 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers20 claims35 services$1.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
10 suppliers84 claims84 services$178.84 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.

DR. JASON H EPSTEIN MD
Anesthesiology (Pain Medicine)
423 E 23RD ST
NEW YORK, NY 10010
New York County (212) 686-7500
MR. GREG DATILES GONZALES RRT-NPS, RPFT, AEC
Respiratory Therapist, Registered (Critical Care)
423 E 23RD ST, RESPIRATORY CARE SERVICES ROOM 13095S
NEW YORK, NY 10010
New York County (212) 686-7500
DR. LAMONT JORDAN BARLOW
Urology
423 E 23RD ST
NEW YORK, NY 10010
New York County (212) 686-7500
MRS. PASCALE FILS-AIME RRT
Respiratory Therapist, Registered (General Care)
423 E 23RD ST, RESPIRATORY CARE RM 13090S
NEW YORK, NY 10010
New York County (212) 686-7500
MS. COURTNEY DUNN LCSW
Social Worker (Clinical)
423 E 23RD ST
NEW YORK, NY 10010
New York County (212) 686-7500
DR. PATRICK COLIN MALLOY M.D.
Radiology (Vascular & Interventional Radiology)
423 E 23RD ST, RADIOLOGY SERVICE
NEW YORK, NY 10010
New York County (212) 686-7500
CARLA ASSENZA LMSW
Social Worker
423 E 23RD ST
NEW YORK, NY 10010
New York County (212) 686-7500
CARA MARY OCHSENREITER LMSW
Social Worker
423 E 23RD ST
NEW YORK, NY 10010
New York County (347) 216-5546

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 Kristen Decarlo's NPI number?

The NPI number for Kristen Decarlo is 1982042214. It was assigned to this individual provider in the NPPES registry on June 9, 2013.

Where is Kristen Decarlo located?

Kristen Decarlo practices at 423 E 23rd St, New York, NY 10010. The listed phone number is (212) 686-7500.

What is Kristen Decarlo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kristen Decarlo enrolled in Medicare?

Yes. Kristen Decarlo 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.

Is Kristen Decarlo affiliated with any hospitals?

According to CMS data, Kristen Decarlo is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Kristen Decarlo was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.