KEITH CAMERON CARLSON MD
NPI 1093749640
Dermatology in Bellevue, WA

Q: What is Keith Carlson's NPI number?

The NPI number for Keith Carlson is 1093749640. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Keith Carlson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Carlson was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 10, 2006PECOS Enrolled

11511 NE 10TH ST, BELLEVUE, WA 98004(425) 502-3000 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 31, 2021, Jan 28, 2017 (2 updates tracked since 2017).

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About Keith Cameron Carlson Md NPPES

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

KEITH CAMERON CARLSON MD (NPI 1093749640) is an individual dermatology provider in Bellevue, Washington, licensed in Washington (MD60650552) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1093749640

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameKEITH CAMERON CARLSONCredential: MD

Location Address11511 NE 10TH STBellevue, WA 98004-8578

Mailing Address11511 Ne 10th St, Bellevue Medical CenterBellevue, WA 98004 · (425) 502-3000 · Fax (425) 502-3589

Phone(425) 502-3000

Sole ProprietorNo

Enumeration DateJuly 10, 2006

Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration

NPPES CertifiedMarch 31, 2021

✔ NPI 1093749640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in WA · MD60650552

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

11511 NE 10TH ST, Bellevue, WA 98004

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Secondary Practice Location 1

Location 1200 medical plaza, #450los angeles, CA 90095 · Phone (310) 825-0631

Other Identifiers 1

Other00G501320CA · Medical Ppin #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Cameron Carlson Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Keith Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington

7.1 mi

Multi-Specialty

320 WESTLAKE AVE. N., SUITE 100
Seattle, WA 98109

Reassigned Medicare billing, Washington enrollment
2,678 clinicians in this Medicare group

NPI 1396810701 (206) 448-6561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

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 20

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

PATSY C LAZAROUS MD

Internal Medicine