John Dominic Decarlo, M.D.
NPI 1346204757ActiveIndividual· Ophthalmology· Brookfield, WI
Ophthalmology (M.D.) in Brookfield, Wisconsin, trained at Loyola University of Chicago, Stritch School of Medicine (class of 1974). Their prescriptions cost Medicare Part D more than their services did: $39,227 for 580 claims, against $22,202 paid for services in 2024.
Overview
| NPI | 1346204757 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Apr 13, 2006 |
| Last updated in NPPES | Feb 19, 2024 |
| Certified by provider | Feb 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 21652-020 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 263 |
|---|---|
| Services billed | 355 across 13 procedure codes |
| Paid by Medicare | $22,202 |
Part D prescriptions in 2024
| Prescriptions (claims) | 580 · 1,148 30-day fills |
|---|---|
| Patients | 155 |
| Total drug cost | $39,227 |
| Generic share | 60% of claims |
Education and affiliations
| Medical school | Loyola University of Chicago, Stritch School of Medicine |
|---|---|
| Graduation year | 1974 |
| Medicare specialty | Ophthalmology |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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