ANTONIO DICARLO – Family Medicine Physician, NPI 1023631785

ANTONIO DICARLO is a healthcare provider. based in Grand blanc, Michigan. specializing in FAMILY PRACTICE. They hold a License No. 4351046094 (MI). The NPI Number for ANTONIO DICARLO is 1023631785

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ANTONIO DICARLO
NPI
1023631785
Phone
(810) 606-5985
Address
1 GENESYS PKWY
Enumeration Date
28 May 2020
Last Update Date
21 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106883048
Graduation Year
2020 (6 years ago)
PAC ID
0143648758
Group Practice PAC ID
3971408121
Professional Enrollment ID
I20230804003402
Address ID
MI484618664NO4000XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

Provider Addresses for ANTONIO DICARLO

  • 1 GENESYS PKWY

    GRAND BLANC, MI 484398065

    Phone: (810) 606-5985

    Fax: (810) 606-5636

    Type: Mailing

  • 4000 HURON ST

    NORTH BRANCH, MI 484618664

    Phone: (810) 688-3048

    Fax: (877) 848-0921

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $15,727.

Total Amount is formed as General ($15,727) + Research ($0) + Ownership ($0) = $15,727.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($14,800).

Total Amount

$15,727

General + Research + Ownership

Payments

53

Total payment records

General Amount

$15,727

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230804003402IFamily PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971408121View full group profile
NameSpecialtyState
General SurgeryMI
-MI
Orthopedic SurgeryMI
Emergency Medicine, Hospitalist, Emergency Medicine, Internal MedicineMI
-MI
H E M A T O L O G Y/ O N C O L O G YMO
Radiation OncologyMI
Nurse PractitionerMI
Family PracticeWA
P O D I A T R YMI

Reviews

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Frequently asked questions

What federal number belongs to ANTONIO DICARLO?
The federal identifier for ANTONIO DICARLO is NPI 1023631785.
Does this profile mean ANTONIO DICARLO is currently active?
Yes — ANTONIO DICARLO appears active in the national provider directory.
What kind of provider is ANTONIO DICARLO?
The page reflects Family Medicine Physician for ANTONIO DICARLO. Clinical services aligned with this taxonomy classification.
Where does public data place ANTONIO DICARLO?
The snapshot lists Grand Blanc, Michigan for ANTONIO DICARLO; download NPPES for the complete set.
Is ANTONIO DICARLO a real provider?
This page reflects official NPPES data for NPI 1023631785. Always confirm identity and privileges with the practice and licensing boards.

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