DR. CRAIG W CARSON M.D.
NPI 1043288673
Internal Medicine - Rheumatology in Edmond, OK

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
70.88/100
CMS Quality Rating
1701 RENAISSANCE BLVD, SUITE 110, EDMOND, OK 73013(405) 844-4978(405) 844-0562 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Craig W Carson M.d. NPPES

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

DR. CRAIG W CARSON M.D. (NPI 1043288673) is an individual rheumatology provider in Edmond, Oklahoma, licensed in Oklahoma (17781) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of University Of Utah School Of Medicine (1985).

NPPES Registry Identity

NPI1043288673
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. CRAIG W CARSONCredential: M.D.
Location Address1701 RENAISSANCE BLVD, SUITE 110Edmond, OK 73013-3084
Mailing Address1701 Renaissance Blvd, Suite 110Edmond, OK 73013-3084 · (405) 844-4978 · Fax (405) 844-0562
Fax(405) 844-0562
Sole ProprietorYes
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1985
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1043288673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in OK · 17781
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1701 RENAISSANCE BLVD, Edmond, OK 73013

Other Identifiers 1

Medicare UPINE41316OK

Accepted 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

Dr. Craig W Carson M.d. 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 ID7416936612
PECOS Enrollment IDI20051202000371
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 55

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, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
37,801 services136 patients
Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
30,260 services30 patients
Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
13,200 services11 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
12,164 services123 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
9,870 services25 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
8,775 services54 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

70.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.62
Promoting Interoperability72
Improvement Activities40
Cost54.66

Other Providers at the Same Location NPPES 15

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

Clinical Nurse Specialist
1701 RENAISSANCE BLVD
EDMOND, OK 73013
Physician Assistant (Medical)
1701 RENAISSANCE BLVD, SUITE 110
EDMOND, OK 73013
Pain Medicine (Interventional Pain Medicine)
1701 RENAISSANCE BLVD
EDMOND, OK 73013
Physician Assistant (Medical)
1701 RENAISSANCE BLVD, SUITE 110
EDMOND, OK 73013
Internal Medicine (Rheumatology)
1701 RENAISSANCE BLVD, SUITE 110
EDMOND, OK 73013
Pharmacist
1701 RENAISSANCE BLVD, STE. 120
EDMOND, OK 73013
Family Medicine
1701 RENAISSANCE BLVD
EDMOND, OK 73013
Orthopaedic Surgery
1701 RENAISSANCE BLVD, SUITE 100
EDMOND, OK 73013

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 Craig Carson's NPI number?

The NPI number for Craig Carson is 1043288673. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Craig Carson located?

Craig Carson practices at 1701 Renaissance Blvd Suite 110, Edmond, OK 73013. The listed phone number is (405) 844-4978.

What is Craig Carson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Craig Carson enrolled in Medicare?

Yes. Craig 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 Craig Carson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and UnitedHealthcare list Craig 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 Craig Carson affiliated with any hospitals?

According to CMS data, Craig Carson is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Craig Carson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.