STEPHANIE CARLSON MD
NPI 1083147417
Emergency Medicine in Walnut Creek, CA

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1425 S MAIN ST, WALNUT CREEK, CA 94596(925) 295-4000 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2023, Jul 26, 2021, Aug 14, 2017 (3 updates tracked since 2017).

About Stephanie Carlson Md NPPES

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

STEPHANIE CARLSON MD (NPI 1083147417) is an individual emergency medicine provider in Walnut Creek, California, licensed in California (182703) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Ohio State University College Of Medicine (2017).

NPPES Registry Identity

NPI1083147417
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSTEPHANIE CARLSONCredential: MD
Location Address1425 S MAIN STWalnut Creek, CA 94596-5318
Mailing Address330 S Overlook DrSan Ramon, CA 94582-4544
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateJanuary 4, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
NPI 1083147417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CA · 182703 Licensed in OR · 205573
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1425 S MAIN ST, Walnut Creek, CA 94596

Secondary Practice Locations 2

Location 11263 Weybridge RdColumbus, OH 43220-8104 · Phone (541) 223-8044
Location 2610 NW 11th StHermiston, OR 97838-6601 · Phone (541) 667-3400

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Stephanie 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 ID6103164736
PECOS Enrollment IDI20230221002974
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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94596 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.29
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
1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596
Hospitalist
1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596
Obstetrics & Gynecology
1425 S MAIN ST
WALNUT CREEK, CA 94596
General Acute Care Hospital
1425 S MAIN ST
WALNUT CREEK, CA 94596
Nurse Anesthetist, Certified Registered
1425 S MAIN ST
WALNUT CREEK, CA 94596
Surgery (Vascular Surgery)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Social Worker (Clinical)
1425 S MAIN ST
WALNUT CREEK, CA 94596
Psychiatry & Neurology (Neurology)
1425 S MAIN ST
WALNUT CREEK, CA 94596

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 Stephanie Carlson's NPI number?

The NPI number for Stephanie Carlson is 1083147417. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Stephanie Carlson located?

Stephanie Carlson practices at 1425 S Main St, Walnut Creek, CA 94596. The listed phone number is (925) 295-4000.

What is Stephanie Carlson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Stephanie Carlson enrolled in Medicare?

Yes. Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Carlson was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.