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DR. JAMES MICHAEL CARLSON DO
NPI 1104800994
Obstetrics & Gynecology in Bend, OR

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
2400 NE NEFF RD, STE A, BEND, OR 97701(541) 389-3300(541) 389-8115 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Michael Carlson Do NPPES

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

DR. JAMES MICHAEL CARLSON DO (NPI 1104800994) is an individual obstetrics & gynecology provider in Bend, Oregon, licensed in Oregon (DO23967) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1104800994
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES MICHAEL CARLSONCredential: DO
Location Address2400 NE NEFF RD, STE ABend, OR 97701-6752
Mailing Address2400 Ne Neff Rd, Ste ABend, OR 97701-6752 · (541) 389-3300 · Fax (541) 389-8115
Phone(541) 389-3300
Fax(541) 389-8115
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 5, 2005
Last NPPES UpdateMarch 14, 2014
✔ NPI 1104800994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OR · DO23967
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2400 NE NEFF RD, Bend, OR 97701
Open in Google Maps ↗

Other Identifiers 1

Medicaid286583OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Dr. James Michael Carlson Do 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 ID3577645514
PECOS Enrollment IDI20080129000570
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 3

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.
17 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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 4

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

DR. JULIE WHEIR MD
Obstetrics & Gynecology
2400 NE NEFF RD, STE A
BEND, OR 97701
Deschutes County (541) 389-3300
CENTRAL OREGON SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
2400 NE NEFF RD, SUITE B
BEND, OR 97701
Deschutes County (541) 749-2282
JANA VANAMBURG MD PC
Specialist
2400 NE NEFF RD, STE B
BEND, OR 97701
Deschutes County (541) 749-2282
JANELLE KAY STROM MD
Obstetrics & Gynecology
2400 NE NEFF RD, STE A
BEND, OR 97701
Deschutes County (541) 389-3300

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 James Carlson's NPI number?

The NPI number for James Carlson is 1104800994. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is James Carlson located?

James Carlson practices at 2400 NE Neff Rd Ste A, Bend, OR 97701. The listed phone number is (541) 389-3300.

What is James Carlson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Carlson enrolled in Medicare?

Yes. James 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 James Carlson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list James 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.

Is James Carlson affiliated with any hospitals?

According to CMS data, James Carlson is affiliated with St Charles Medical Center - Bend.

When was this NPI record last updated?

The NPPES record for James Carlson was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.