Carlos Concepcion, M.D.
NPI 1194130302 · Internal Medicine Physician · South Holland, IL
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carlos Concepcion, M.D. is a Internal Medicine Physician provider in South Holland, IL (NPI 1194130302).
Provider details
- NPI number
- 1194130302
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036-142695 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
549 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 251 | $121 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 136 | $79 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 93 | $116 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 69 | $178 |
Typical Medicare-allowed amounts for these services range $79–$178 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 30 | 12 |
| Metoprolol Succinate | 22 | 15 |
| Pantoprazole Sodium | 20 | 15 |
| Apixabanbrand: Eliquis | 18 | 12 |
| Metoprolol Tartrate | 14 | — |
| Losartan Potassium | 13 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-25
- Last updated
- 2022-06-06
- Certified
- 2022-06-06
Frequently asked questions
- What is Carlos Concepcion's NPI number?
- Carlos Concepcion's National Provider Identifier (NPI) is 1194130302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carlos Concepcion's specialty?
- Carlos Concepcion is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carlos Concepcion located?
- Carlos Concepcion's practice location on file with NPPES is 100 W 162nd St, South Holland, IL 60473-2003.
- What is Carlos Concepcion's phone number?
- The practice phone number listed in the NPPES registry for Carlos Concepcion is (708) 730-2200.
- Does Carlos Concepcion accept Medicare?
- Carlos Concepcion is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carlos Concepcion's NPI active?
- Yes — Carlos Concepcion's NPI (1194130302) is active in the NPPES registry as of the last update on 2022-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.