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ROBERT F CARSON D.O.
NPI 1003044462
Orthopaedic Surgery in Clinton Township, MI

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment
16570 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 226-7400(586) 226-2970 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert F Carson D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT F CARSON D.O. (NPI 1003044462) is an individual orthopaedic surgery provider in Clinton Township, Michigan, licensed in Michigan (5101018226) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Mclaren Macomb, and is a graduate of Michigan State University College Of Human Medicine (2009).

NPPES Registry Identity

NPI1003044462
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameROBERT F CARSONCredential: D.O.
Location Address16570 19 MILE RDClinton Township, MI 48038-1106
Mailing Address16570 19 Mile RdClinton Township, MI 48038-1106 · (586) 226-7400 · Fax (586) 226-2970
Phone(586) 226-7400
Fax(586) 226-2970
Sole ProprietorYes
Medical School CMSMichigan State University College Of Human MedicineGraduated 2009
Enumeration DateJune 24, 2009
Last NPPES UpdateOctober 11, 2016
✔ NPI 1003044462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 5101018226
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
16570 19 MILE RD, Clinton Township, MI 48038
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert F Carson D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234362633
PECOS Enrollment IDI20140509001837
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
400 services56 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
156 services68 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
108 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHOPEDIC SURGERY OF MACOMB PLC
Orthopaedic Surgery
16570 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 226-7400
CHANKEE PARK M.D.
Obstetrics & Gynecology
16570 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-7660
PARK OB GYN
Obstetrics & Gynecology
16570 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-7660
RONALD L MEISEL D.O.
Orthopaedic Surgery
16570 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 226-7400
DR. MONIKA KISHORE OCHANI MD
Family Medicine
16570 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 286-4490
WOMEN'S HEALTH SPECIALISTS OF MACOMB COUNTY PC
Obstetrics & Gynecology
16570 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 286-4430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Carson's NPI number?

The NPI number for Robert Carson is 1003044462. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Robert Carson located?

Robert Carson practices at 16570 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 226-7400.

What is Robert Carson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Robert Carson enrolled in Medicare?

Yes. Robert Carson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Carson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Robert Carson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Carson affiliated with any hospitals?

According to CMS data, Robert Carson is affiliated with Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Robert Carson was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.