DR. MICHAEL DAVID CARLETTI (D.O.) – Dermatology Physician, NPI 1013126390

DR. MICHAEL DAVID CARLETTI (D.O.) is a healthcare provider. based in Fort worth, Texas. specializing in DERMATOLOGY. They hold the professional credentials D.O.. They hold a License No. BP10026779 (TX). The NPI Number for DR. MICHAEL DAVID CARLETTI (D.O.) is 1013126390

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL DAVID CARLETTI (D.O.)
NPI
1013126390
Phone
(817) 735-0278
Address
855 MONTGOMERY ST
Enumeration Date
22 May 2007
Last Update Date
4 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8177353627
Graduation Year
2006 (20 years ago)
PAC ID
7911262878
Group Practice PAC ID
6103717350
Professional Enrollment ID
I20180523001945
Address ID
TX761072553FO855XXSTXX310
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,284 DERMATOLOGY in TX

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Provider Addresses for DR. MICHAEL DAVID CARLETTI (D.O.)

  • UNTHSC Health Pavilion, 855, Montgomery Street, Fort Worth, Tarrant County, Texas, 76107, United States

    FORT WORTH, TX 761072553

    Phone: (817) 735-0278

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 384 Open Payments records for all available years, with a total value of $15,556.

Total Amount is formed as General ($15,556) + Research ($0) + Ownership ($0) = $15,556.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($1,956).

Total Amount

$15,556

General + Research + Ownership

Payments

384

Total payment records

General Amount

$15,556

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2018-05-23

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
I20180523001945IDermatologyTXTBD

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
G6001Ultrasonic guidance for placement of radiation therapy fields86044$0
77280Obtaining data needed to develop the optimal radiation treatment, 1 treatment area67826$0
77401Superficial and/or low voltage radiation treatment delivery65726$0
17003Destruction of precancer skin growth, 2-14 growths36288$0
99214Established patient office or other outpatient visit, 30-39 minutes279147$0
View full utilization report →

Insurance plans in this area (ZIP 76107)

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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: 6103717350View full group profile
NameSpecialtyState
Family Practice, Osteopathic Manipulative MedicineTX
Qualified Speech Language PathologistTX
Qualified AudiologistTX
Nurse PractitionerTX
Mental Health CounselorTX
Osteopathic Manipulative Medicine, Family PracticeTX
N E U R O L O G YTX
Family PracticeTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MICHAEL DAVID CARLETTI (D.O.)?
NPI 1013126390 is assigned to DR. MICHAEL DAVID CARLETTI (D.O.) under the national enumeration system.
Does this profile mean DR. MICHAEL DAVID CARLETTI (D.O.) is currently active?
Yes — DR. MICHAEL DAVID CARLETTI (D.O.) appears active in the national provider directory.
Does DR. MICHAEL DAVID CARLETTI (D.O.) list a primary specialty?
If you are matching referrals, note Dermatology Physician for DR. MICHAEL DAVID CARLETTI (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHAEL DAVID CARLETTI (D.O.)?
We surface Fort Worth, Texas for DR. MICHAEL DAVID CARLETTI (D.O.) based on available NPPES addresses.
How can I contact DR. MICHAEL DAVID CARLETTI (D.O.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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