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DR. GREGG W CARLSON MD
NPI 1043378912
Obstetrics & Gynecology in Aberdeen, SD

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
310 S PENN ST, STE 204, ABERDEEN, SD 57401(605) 225-1636(605) 229-2434 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregg W Carlson Md NPPES

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

DR. GREGG W CARLSON MD (NPI 1043378912) is an individual obstetrics & gynecology provider in Aberdeen, South Dakota, licensed in South Dakota (1897) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1983).

NPPES Registry Identity

NPI1043378912
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. GREGG W CARLSONCredential: MD
Location Address310 S PENN ST, STE 204Aberdeen, SD 57401-4553
Mailing AddressPo Box 1460Aberdeen, SD 57402-1460 · (605) 622-2857 · Fax (605) 622-2859
Phone(605) 225-1636
Fax(605) 229-2434
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1983
Enumeration DateDecember 4, 2006
Last NPPES UpdateNovember 1, 2011
✔ NPI 1043378912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SD · 1897
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
310 S PENN ST, Aberdeen, SD 57401
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Other Identifiers 2

Medicare PINS103765SD
Other15824ND · Nd Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.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. Gregg W Carlson Md 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 ID8325055379
PECOS Enrollment IDI20060316000054
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 2

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.

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.
28 services20 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.
27 services21 patients

Hospital Affiliations CMS Care Compare

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57401 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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 14

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

DR. TAGE ELIZABETH BORN MD
Obstetrics & Gynecology
310 S PENN ST, SUITE 204
ABERDEEN, SD 57401
Brown County (605) 225-1636
ALISA HOGUE CNP
Nurse Practitioner
310 S PENN ST, SUITE 202
ABERDEEN, SD 57401
Brown County (605) 622-2895
CHARLES L. PELTON JR. PA-C
Physician Assistant
310 S PENN ST, SUITE 202
ABERDEEN, SD 57401
Brown County (605) 622-2573
DR. ROGER W WERTH MD
Surgery
310 S PENN ST
ABERDEEN, SD 57401
Brown County (605) 229-1367
DR. CHRISTOPHER M LARSON
Surgery
310 S PENN ST, SUITE 201
ABERDEEN, SD 57401
Brown County (605) 229-1367
ABERDEEN SURGICAL ASSOCIATES LLP
Surgery
310 S PENN ST
ABERDEEN, SD 57401
Brown County (605) 229-1367
SUSHEEL S GUNDEWAR M.D.
Internal Medicine (Interventional Cardiology)
310 S PENN ST, STE 203
ABERDEEN, SD 57401
Brown County (605) 622-2573
NEUROSPINE OF ABERDEEN LLC
Neurological Surgery
310 S PENN ST, #202
ABERDEEN, SD 57401
Brown County (605) 225-1133

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 Gregg Carlson's NPI number?

The NPI number for Gregg Carlson is 1043378912. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Gregg Carlson located?

Gregg Carlson practices at 310 S Penn St Ste 204, Aberdeen, SD 57401. The listed phone number is (605) 225-1636.

What is Gregg Carlson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gregg Carlson enrolled in Medicare?

Yes. Gregg Carlson 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 Gregg Carlson accept?

Health plans from Avera Health Plans and Medica list Gregg 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 Gregg Carlson affiliated with any hospitals?

According to CMS data, Gregg Carlson is affiliated with Avera St Lukes.

When was this NPI record last updated?

The NPPES record for Gregg Carlson was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.