ELIZABETH MOYLE CARLSON PA-C
NPI 1063645992
Physician Assistant in Grand Jct, CO

NPI Status: Active since August 26, 2009

Contact Information

735 WHITE AVE
GRAND JCT, CO
ZIP 81501
Phone: (970) 248-5880
Fax: (970) 241-1112

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  • Individual
  • Female
  • Years of Experience 17
  • Physician Assistant
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ELIZABETH CARLSON

Elizabeth Carlson is a primary care provider established in Grand Jct, Colorado and her medical specialization is Physician Assistant with more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1063645992 assigned on August 2009. The practitioner's primary taxonomy code is 363A00000X with license number PA.0002780 (CO). The provider is registered as an individual and her NPI record was last updated April 2024.

NPI
1063645992
Provider Name
ELIZABETH MOYLE CARLSON PA-C
Other Name
ELIZABETH WOOD MOYLE PA-C
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
735 WHITE AVE GRAND JCT, CO 81501
Location Phone
(970) 248-5880
Location Fax
(970) 241-1112
Mailing Address
PO BOX 1727 GRAND JUNCTION, CO 81502
Mailing Phone
(970) 623-8860
Mailing Fax
(970) 241-1112
Medical School Name
OTHER
Graduation Year
2008
Is Sole Proprietor?
No
Enumeration Date
08-26-2009
Last Update Date
04-04-2024
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A primary care provider (PCP) like Elizabeth Carlson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Elizabeth Carlson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.01 for a new patient copayment and $18.75 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA.0002780
License State
CO
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

2780 (CO)
2363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

PA.0002780 (CO)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • University of Utah Health Plans

    • Healthy Premier Bronze HSA - EPO
    • Healthy Premier Bronze w.3 Copays - EPO
    • Healthy Premier Expanded Bronze - EPO
    • Healthy Premier Expanded Bronze Standard - EPO
    • Healthy Premier Expanded Bronze Standard Choice - EPO
    • Healthy Premier Gold Copay - EPO
    • Healthy Premier Gold Standard - EPO
    • Healthy Premier Silver Copay - EPO
    • Healthy Premier Silver Standard - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
62824279MEDICAID (05)CO 

PECOS Enrollment and Medicare Participation Status

Elizabeth Carlson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8224175336

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20091022000239

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Oxygen and supplies (D1C)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    2 DME suppliers used 29 Medicare Claims 29 Services Paid

  • Oxygen and supplies (D1C)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 37 Medicare Claims 37 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 81501 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.04
  • Minimum New Patient Price $60.06
  • Maximum New Patient Price $181
  • Average New Patient Copayment $23.01
  • Minimum New Patient Copayment $15.01
  • Maximum New Patient Copayment $45.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75
  • Minimum Established Patient Price $18.98
  • Maximum Established Patient Price $148.2
  • Average Established Patient Copayment $18.75
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 133

    Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)

  • 29

    Insertion of needle into vein for collection of blood sample (HCPCS:36415)

  • 19

    Automated urinalysis test (HCPCS:81003)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Elizabeth Carlson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST MARYS MEDICAL CENTER2635 N 7TH ST
GRAND JUNCTION, CO 81501
(970) 298-1950Acute Care Hospitals
COMMUNITY HOSPITAL2351 'G' RD
GRAND JUNCTION, CO 81505
(970) 644-3020Acute Care Hospitals
DELTA COUNTY MEMORIAL HOSPITAL1501 E 3RD ST
DELTA, CO 81416
(970) 874-7681Acute Care Hospitals
COLORADO CANYONS HOSPITAL AND MEDICAL CENTER300 W OTTLEY AVE
FRUITA, CO 81521
(970) 858-9871Critical Access Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063645992
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2012312410918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 4 + 1 + 0 + 9 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1063645992 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326393430 CATHERINE A DRACKETT LCSW
Individual
Social Worker (Clinical)735 WHITE AVE
GRAND JUNCTION, CO 81501
(970) 248-5880
1700846318 KATHERINE HOWE DO
Individual
Family Medicine735 WHITE AVE
GRAND JUNCTION, CO 81501
(970) 248-5880
1396124269DR. MEREDITH EVANS MD
Individual
Family Medicine735 WHITE AVE
GRAND JUNCTION, CO 81501
(970) 248-5880
1194198945 KAY MCMAHON P.A
Individual
Physician Assistant (Medical)735 WHITE AVE
GRAND JUNCTION, CO 81501
(970) 248-5880
1346537628JUNIPER FAMILY MEDICINE PLLC
Organization
Clinic/Center (Primary Care)735 WHITE AVE
GRAND JUNCTION, CO 81501
(970) 248-5880
1174506760 KATHRYN E. PIERCE MD
Individual
Family Medicine735 WHITE AVE
GRAND JUNCTION, CO 81501
(970) 248-5880
1831234681 LAURA CAMPBELL M.D.
Individual
Family Medicine735 WHITE AVE
GRAND JUNCTION, CO 81501
(970) 248-5880

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063645992, enumerated in the NPI registry as an "individual" on August 26, 2009

The provider is located at 735 White Ave Grand Jct, Co 81501 and the phone number is (970) 248-5880

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 17 years of experience.

The provider might be accepting Accepts: University of Utah Health Plans, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $92.04 with an average copayment of $23.01 for new patient appointments. Established patients should expect a typical charge of $75 and an average copayment of 18.75. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Insertion of needle into vein for collection of blood sample and Automated urinalysis test.

The practitioner is affiliated to the following hospital(s): ST MARYS MEDICAL CENTER, COMMUNITY HOSPITAL, DELTA COUNTY MEMORIAL HOSPITAL and COLORADO CANYONS HOSPITAL AND MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 26, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.