GREGORY CARLSON M.D.
NPI 1073590972
Surgery - Vascular Surgery in Colorado Springs, CO

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1400 E BOULDER ST, SUITE 600, COLORADO SPRINGS, CO 80909(719) 365-6487(719) 364-6488 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2020, Mar 18, 2016 (2 updates tracked since 2016).

About Gregory Carlson M.d. NPPES

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

GREGORY CARLSON M.D. (NPI 1073590972) is an individual vascular surgery provider in Colorado Springs, Colorado, licensed in Colorado (DR.0042262) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1997).

NPPES Registry Identity

NPI1073590972
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameGREGORY CARLSONCredential: M.D.
Location Address1400 E BOULDER ST, SUITE 600Colorado Springs, CO 80909-5533
Mailing Address1400 E Boulder St, Suite 600Colorado Springs, CO 80909-5533 · (719) 365-6487 · Fax (719) 364-6488
Fax(719) 364-6488
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1997
Enumeration DateDecember 30, 2005
Last NPPES UpdateFebruary 10, 20202 updates tracked since enumeration
NPI 1073590972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CO · DR.0042262
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License DR.0042262 (CO)
1400 E BOULDER ST, Colorado Springs, CO 80909

Other Identifiers 1

Medicaid46032240CO

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

Gregory Carlson 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 ID6709858251
PECOS Enrollment IDI20040806000436
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 17

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.
141 services111 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
127 services16 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
125 services123 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
80 services68 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.
79 services75 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
67 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Pediatrics (Neonatal-Perinatal Medicine)
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Emergency Medicine
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Physician Assistant
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Social Worker (Clinical)
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Physician Assistant
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Physical Therapist
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909
Anesthesiology
1400 E BOULDER ST
COLORADO SPRINGS, CO 80909

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 Gregory Carlson's NPI number?

The NPI number for Gregory Carlson is 1073590972. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Gregory Carlson located?

Gregory Carlson practices at 1400 E Boulder St Suite 600, Colorado Springs, CO 80909. The listed phone number is (719) 365-6487.

What is Gregory Carlson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Gregory Carlson enrolled in Medicare?

Yes. Gregory 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 Gregory Carlson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 1 other insurer list Gregory 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.

When was this NPI record last updated?

The NPPES record for Gregory Carlson was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.