1. Home
  2. Directory
  3. Wisconsin
  4. Rapids
  5. Internal Medicine
  6. NPI Profile

DR. JOEL M CARLSON M.D.
NPI 1063423515
Internal Medicine - Gastroenterology in Wisconsin Rapids, WI

Active since August 10, 2006PECOS Enrolled
90.59/100
CMS Quality Rating
420 DEWEY STREET, WISCONSIN RAPIDS, WI 54495(715) 421-1001 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Joel M Carlson M.d. NPPES

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

DR. JOEL M CARLSON M.D. (NPI 1063423515) is an individual gastroenterology provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (33239) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063423515
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOEL M CARLSONCredential: M.D.
Location Address420 DEWEY STREETWisconsin Rapids, WI 54495-0005
Mailing Address420 Dewey StreetWisconsin Rapids, WI 54495-0005 · (715) 421-1001
Phone(715) 421-1001
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 27, 2015
✔ NPI 1063423515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in WI · 33239
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
420 DEWEY STREET, Wisconsin Rapids, WI 54495
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF34163WI
Medicaid31818600WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joel M Carlson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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.

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
100 services99 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
84 services82 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
32 services31 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
25 services25 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
22 services22 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54495 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

90.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.26
Promoting Interoperability100
Improvement Activities40
Cost67.03

Other Providers at the Same Location NPPES

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

CARLSON GI CLINIC
Internal Medicine (Gastroenterology)
420 DEWEY STREET
WISCONSIN RAPIDS, WI 54495
Wood County (715) 421-1001

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 Joel Carlson's NPI number?

The NPI number for Joel Carlson is 1063423515. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Joel Carlson located?

Joel Carlson practices at 420 Dewey Street, Wisconsin Rapids, WI 54495. The listed phone number is (715) 421-1001.

What is Joel Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Joel Carlson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Joel Carlson was last updated on July 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.