1. Home
  2. Directory
  3. Texas
  4. Cedar Park
  5. Internal Medicine
  6. NPI Profile

MARK D CARLSON MD
NPI 1023008398
Internal Medicine in Cedar Park, TX

Active since October 26, 2005PECOS Enrolled
1905 S LAKELINE BLVD STE 4, CEDAR PARK, TX 78613(512) 553-1921 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2019, Jun 13, 2018 (2 updates tracked since 2018).

About Mark D Carlson Md NPPES

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

MARK D CARLSON MD (NPI 1023008398) is an individual internal medicine provider in Cedar Park, Texas, licensed in Texas (Q2258) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of Loma Linda University School Of Medicine (1991).

NPPES Registry Identity

NPI1023008398
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK D CARLSONCredential: MD
Location Address1905 S LAKELINE BLVD STE 4Cedar Park, TX 78613
Mailing Address1905 S Lakeline Blvd Ste 4Cedar Park, TX 78613-4660 · (512) 553-1921
Phone(512) 553-1921
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1991
Enumeration DateOctober 26, 2005
Last NPPES UpdateApril 16, 20192 updates tracked since enumeration
✔ NPI 1023008398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · Q2258
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License Q2258 (TX)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 21230 (NE), Q2258 (TX)
1905 S LAKELINE BLVD STE 4, Cedar Park, TX 78613
Open in Google Maps ↗

Other Identifiers 5

Medicaid200269020AKS
Other3600078NE · Uhc
Medicaid91186278513NE
Other02601NE · Bcbs
Other6452NE · Midlands Choice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, 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 (PECOS)

Mark D Carlson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668461666
PECOS Enrollment IDI20050720000590, I20170103000388
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 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
61 services27 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
58 services30 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
26 services22 patients

Hospital Affiliations CMS Care Compare 2

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

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78613 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%67 patients2/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier14 claims14 services$50.08 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
1 supplier11 claims11 services$36.21 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$11.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MARIO CENDAN NP
Nurse Practitioner (Gerontology)
1905 S LAKELINE BLVD STE 4
CEDAR PARK, TX 78613
Williamson County (512) 553-1921
LOVELEEN M SWAMI CMS RN AGACNP BC
Nurse Practitioner (Adult Health)
1905 S LAKELINE BLVD STE 4
CEDAR PARK, TX 78613
Williamson County (512) 467-5099

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 Mark Carlson's NPI number?

The NPI number for Mark Carlson is 1023008398. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Mark Carlson located?

Mark Carlson practices at 1905 S Lakeline Blvd Ste 4, Cedar Park, TX 78613. The listed phone number is (512) 553-1921.

What is Mark Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Carlson enrolled in Medicare?

Yes. Mark Carlson is registered in the Medicare PECOS enrollment system.

What insurance does Mark Carlson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 1 other insurer list Mark Carlson 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 Mark Carlson affiliated with any hospitals?

According to CMS data, Mark Carlson is affiliated with The Nebraska Methodist Hospital and Chi Health Bergan Mercy.

When was this NPI record last updated?

The NPPES record for Mark Carlson was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.