Efren Caratao, M.D.
NPI 1366502601 · General Practice Physician · Kent, WA
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Efren Caratao, M.D. is a General Practice Physician provider in Kent, WA (NPI 1366502601).
Provider details
- NPI number
- 1366502601
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD00028063 (WA)
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
19 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
145 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 60 | $141 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 38 | $17 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 19 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 14 | $142 |
| Annual Depression Screening, 5 to 15 MinutesG0444 | 14 | $21 |
Typical Medicare-allowed amounts for these services range $9–$142 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 55 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 186 | 59 |
| Lisinopril | 143 | 44 |
| Amlodipine Besylate | 130 | 42 |
| Gabapentin | 127 | 27 |
| Metoprolol Succinate | 102 | 30 |
| Losartan Potassium | 102 | 24 |
| Metformin Hcl |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-09
- Last updated
- 2023-03-07
Frequently asked questions
- What is Efren Caratao's NPI number?
- Efren Caratao's National Provider Identifier (NPI) is 1366502601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Efren Caratao's specialty?
- Efren Caratao is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Efren Caratao located?
- Efren Caratao's practice location on file with NPPES is 10413 Se 244th St, Kent, WA 98030-4961.
- What is Efren Caratao's phone number?
- The practice phone number listed in the NPPES registry for Efren Caratao is (253) 852-2770.
- Does Efren Caratao accept Medicare?
- Efren Caratao is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Efren Caratao's NPI active?
- Yes — Efren Caratao's NPI (1366502601) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.