Carl Raso, MD
NPI 1306934195 · Gastroenterology Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carl Raso, MD is a Gastroenterology Physician provider in Toms River, NJ (NPI 1306934195).
Provider details
- NPI number
- 1306934195
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MA46493 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,706 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 469 | $133 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 392 | $79 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 203 | $116 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 179 | $84 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 127 | $94 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 388 | 119 |
| Pantoprazole Sodium | 274 | 95 |
| Famotidine | 273 | 84 |
| Dexlansoprazolebrand: Dexlansoprazole Dr | 108 | 26 |
| Dicyclomine Hcl | 106 | 39 |
| Linaclotidebrand: Linzess | 82 | 28 |
| Sucralfate | 75 | 35 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$924 across 56 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Carl Raso's NPI number?
- Carl Raso's National Provider Identifier (NPI) is 1306934195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carl Raso's specialty?
- Carl Raso is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Carl Raso located?
- Carl Raso's practice location on file with NPPES is 129 Route 37 West, Toms River, NJ 08755.
- What is Carl Raso's phone number?
- The practice phone number listed in the NPPES registry for Carl Raso is (732) 797-3990.
- Does Carl Raso accept Medicare?
- Carl Raso is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carl Raso's NPI active?
- Yes — Carl Raso's NPI (1306934195) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.