Dr. Carlos R. Berrios, MD

  • Indianapolis, IN
  • Orthopedic surgeon
NPI1871578666PAC ID1759285489
Medicare services, 2024
7,387
Medicare patients, 2024
258
Part D claims, 2024
499
MIPS score, 2024
75
Hospital affiliations
1
Practice address
8400 Northwest Blvd, Indianapolis, IN 46278
Practice phone
Call (317) 956-1000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

OrthoIndy Northwest Hospital

Hospital · Indianapolis, Indiana

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Dr. Carlos R. Berrios is an orthopedic surgeon in Indianapolis, Indiana

Dr. Berrios practices at OrthoIndy Northwest Hospital in Indianapolis, Indiana, part of OrthoIndy.

Dr. Berrios' NPI, 1871578666, was assigned on December 14, 2005. Dr. Berrios graduated from Universidad Boliviana Mayor de San Andres Faculty of Medicine in 1984. Dr. Berrios' Indiana license number on file is 01041648A.

NPI and contact details
Medicare PAC ID
1759285489
NPI enumeration date
December 14, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(317) 956-1000
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
68
Medical school graduation
1984

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Carlos R. Berrios practices at OrthoIndy Northwest Hospital in Indianapolis, Indiana

Dr. Berrios' primary practice is OrthoIndy Northwest Hospital, at 8400 Northwest Blvd, Indianapolis, IN 46278 in Marion County. The practice phone is (317) 956-1000.

Source: Dmand AI Affiliation Data

Dr. Carlos R. Berrios is affiliated with 2 sites of care and 1 medical group

Dr. Berrios' primary practice is OrthoIndy Northwest Hospital in Indianapolis, Indiana, part of OrthoIndy. The medical group on file is OrthoIndy. Dmand AI also links Dr. Berrios to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Dr. Berrios

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Carlos R. Berrios' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Berrios practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
OrthoIndy Northwest HospitalAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Carlos R. Berrios is one of 429 orthopedic surgeons in Indiana

Orthopaedic surgery is Dr. Berrios' primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dr. Berrios is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery. Dmand AI has Dr. Berrios' licenses on file in 3 states: Indiana, Virginia and Minnesota.

Specialties and state licenses

  • Orthopaedic surgery, IndianaPrimaryLicense 01041648A · 1993 to 2025 · taxonomy 207X00000X
  • Virginia license1999 to 2002
  • Minnesota license1988 to 1992

Clinical focus

Dmand AI lists arm, wrist, hand fracture and dislocation, arthritis, bursitis, carpal tunnel syndrome, enthesopathy in foot or ankle, fluid in a joint, joint pain and knee arthroscopy among the conditions Dr. Berrios treats.

Orthopedic surgeons near Dr. Berrios

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Carlos R. Berrios billed Medicare for 7,387 services in 2024

CMS data shows 7,387 Medicare services from Dr. Berrios across 13 procedure codes in 2024, for 258 Medicare patients. Medicare paid $24,653 for them. Every service was in an office.

Medicare services, 20247,387
Medicare patients258
Paid by Medicare$24,653
Procedure codes13

Dr. Berrios' Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Drugs given in the office
2023: 1442024: 6,7964619%
Imaging
2023: 2182024: 26622%
Office and hospital visits
2023: 1822024: 22423%
Surgery
2023: 982024: 1013%

Dr. Berrios compared with the Indiana median for orthopedic surgeons, 2024

  • Dr. Berrios
  • Indiana median
Medicare services
7,387vs 1,3425.5 times
Medicare patients
258vs 262Close to median
Part D claims
467vs 1662.8 times

Medians across 423 orthopedic surgeons in Indiana with Dmand AI profiles that report each measure.

Dr. Berrios' most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Berrios

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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Berrios and other orthopedic surgeons in Indiana.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Carlos R. Berrios treated 258 Medicare patients in 2024, average age 72

CMS counts 258 Medicare patients who saw Dr. Berrios in 2024. The largest group is 65 to 74, with 114 patients. 71% of them have high cholesterol, and 69% have high blood pressure. 15% are also on Medicaid. Their average risk score is 1.05, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Berrios' median patient age at 38, with 55% women.

Medicare patients, 2024258
Average age72
Average risk score1.05
Also on Medicaid15%

Dr. Berrios' Medicare patients by age, 2024

Dr. Berrios' Medicare patients by sex, 2024

  • Women17769%
  • Men8131%

Chronic conditions among Dr. Berrios' Medicare patients, 2024

  1. High cholesterol71%
  2. High blood pressure69%
  3. Arthritis61%
  4. Mood disorders30%
  5. Diabetes27%
  6. Depression26%
  7. Ischemic heart disease26%
  8. Anxiety21%

Share of Medicare patients with each condition. A patient can have several.

Dr. Berrios' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 38

Patient panel by sex, all payers

  • Women55%
  • Men44%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Carlos R. Berrios wrote 499 Medicare Part D claims in 2024

In 2024, Dr. Berrios wrote 499 Medicare Part D claims for 134 patients. 99% of them were for generic drugs. CMS names the drug for 467 of them, across 11 drugs with 11 or more claims each, at $4,802 in total drug cost. In 2023, CMS named 478 claims across 12 drugs.

Part D claims, 2024499
Drugs named by CMS11
Total drug cost$4,802
Part D patients134

Dr. Berrios' Part D claims by kind of drug, 2024

  • Generic495 claims99%
  • Brand-name and other4 claims1%

Dr. Berrios' most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Berrios' Part D claims, 2024

  • Opioids24%120 of 499 claims
  • Antibiotics8%40 of 499 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 4782024: 4672%

Drugs named by CMS: 11 in 2024, 12 in 2023.

See all prescribing by Dr. Berrios

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Carlos R. Berrios scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. Berrios for performance year 2024, reported as part of a group. Dr. Berrios accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Berrios' MIPS scores, performance year 2024

  • 75of 100Final score
  • 52.6of 100Quality
  • 88of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 73of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Lower limb (leg) arthroscopy (minimally invasive joint repair): 1 to 10 procedures (CMS shows small counts as a range)

Removal or shaving of skin growth: 1 to 10 procedures (CMS shows small counts as a range)

Upper limb (arm) arthroscopy (minimally invasive joint repair): 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Carlos R. Berrios received $166 in industry payments from 2016 to 2025

CMS Open Payments shows 6 general payments to Dr. Berrios from 2 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 88% of the total. Teva Pharmaceuticals USA, Inc. paid the most, $146.

General payments to Dr. Berrios by program year, 2016 to 2025

General payments to Dr. Berrios by kind, 2016 to 2025

$166in total
  • Food and beverage$14688%
  • Speaker and faculty fees$1912%

Companies that paid Dr. Berrios the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Berrios

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Carlos R. Berrios has 1 award and honors on record

Dmand AI lists 1 award for Dr. Berrios, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Berrios

  1. 2013
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. Carlos R. Berrios graduated from Universidad Boliviana Mayor de San Andres Faculty of Medicine

Dr. Berrios graduated from Universidad Boliviana Mayor de San Andres Faculty of Medicine in 1984.

  1. Medical schoolUniversidad Boliviana Mayor de San Andres Faculty of Medicine
  2. Board certified in orthopaedic surgeryAmerican Board of Orthopaedic Surgery

Source: Dmand AI Professional Profile Data

Dr. Carlos R. Berrios accepts plans from 15 insurance carriers

Dr. Berrios is in network with 15 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

  • Aetna
  • United Healthcare
  • Blue Cross Blue Shield of Michigan
  • Elevance
  • HCSC
  • Aspirus Health Plan
  • Blue Cross Blue Shield of Massachusetts
  • Humana
  • +7 more carriersWith a free account

Plan types Dr. Berrios accepts, by number of carriers

  1. PPO10
  2. Medicare8
  3. HMO7
  4. EPO4
  5. POS4
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Carlos R. Berrios's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Carlos R. Berrios

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Carlos R. Berrios' NPI number?

Dr. Carlos R. Berrios' NPI number is 1871578666. It was assigned on December 14, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Carlos R. Berrios?

Dr. Carlos R. Berrios is an orthopedic surgeon in Indianapolis, Indiana. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. Carlos R. Berrios practice?

Dr. Berrios practices at 8400 Northwest Blvd, Indianapolis, IN 46278. Dr. Berrios' primary practice is OrthoIndy Northwest Hospital in Indianapolis, Indiana, part of OrthoIndy. Dmand AI also links Dr. Berrios to 1 group practice or clinic.

What is Dr. Carlos R. Berrios' office phone number?

The practice phone on file for Dr. Berrios is (317) 956-1000.

What is Dr. Carlos R. Berrios' medical license number?

Dr. Berrios' Indiana license number on file is 01041648A, one of the licenses on file in 3 states.

Which states has Dr. Carlos R. Berrios been licensed in?

Dmand AI has state licenses on file for Dr. Berrios in Indiana (1993 to 2025), Virginia (1999 to 2002) and Minnesota (1988 to 1992).

Which hospitals is Dr. Carlos R. Berrios affiliated with?

Dr. Berrios practices at OrthoIndy Northwest Hospital in Indianapolis, Indiana.

What medical group is Dr. Carlos R. Berrios part of?

Dr. Berrios is linked to OrthoIndy.

Does Dr. Carlos R. Berrios accept Medicare?

Yes. CMS data shows Dr. Berrios billed Medicare for 7,387 services in 2024, and Dr. Berrios accepts Medicare assignment.

What is Dr. Carlos R. Berrios' MIPS score?

Dr. Berrios' MIPS final score for performance year 2024 is 75 out of 100, reported as part of a group.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Carlos R. Berrios see?

CMS counts 258 Medicare patients who saw Dr. Berrios in 2024, with an average age of 72.

Is Dr. Carlos R. Berrios board certified?

Yes. Dr. Berrios is board certified in orthopaedic surgery by the American Board of Orthopaedic Surgery.

What services does Dr. Carlos R. Berrios bill to Medicare?

In 2024, Dr. Berrios' most billed Medicare services were injected or infused drug (J1010), office visit, established patient (99213) and surgery: bones and joints (20610).

Where did Dr. Carlos R. Berrios go to medical school?

Dr. Berrios graduated from Universidad Boliviana Mayor de San Andres Faculty of Medicine in 1984.

What drugs does Dr. Carlos R. Berrios prescribe most?

In 2024 Medicare Part D data, Dr. Berrios' most prescribed drugs by claims were Meloxicam, Hydrocodone-Acetaminophen and Celecoxib.

Has Dr. Carlos R. Berrios received payments from drug or device companies?

CMS Open Payments shows $166 in general payments to Dr. Berrios from 2 companies from 2016 to 2025. The largest total came from Teva Pharmaceuticals USA, Inc.

How long has Dr. Carlos R. Berrios been practicing?

Dr. Berrios graduated from medical school in 1984, 42 years ago.

What insurance does Dr. Carlos R. Berrios accept?

Dr. Berrios is in network with 15 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 10. Check the plan with the practice before a visit.

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