On February 13, 1890 the virtuoso pianist Teresa Carreño performed the European premiere of MacDowell's First Piano Concerto with the Berlin Philharmonic under Gustav F. Kogel. The news of the event reached MacDowell in Boston a few days later through a letter from Carreño in which she wrote excitedly about their great achievement:

The success of this performance proved to be very significant for both MacDowell and Carreño. It was an affirmative step in MacDowell's international recognition as a composer. At the same time, it was a triumphant new beginning for Carreño, who in midlife was determined to gain a place in Europe among the first-rank pianists. The idea of performing MacDowell's Concerto came from Carreño herself, who proposed the work for the last of her three debut concerts in Berlin. Her manager, Hermann Wolff, did not consider it appropriate to launch Carreño's career in Germany with an unknown work by an American composer. The conductor, afraid of the conservatism of the Berlin public, did not welcome it either. But after the success she had had in her two previous concerts in Berlin, the pianist was able to stand up for her convictions. Her answer to the conductor and the manager was “no MacDowell, no Carreño,” and she got her way and played MacDowell.