MR. RAY LYNN CARLSON M.D. - NPI 1114077468 - Family Medicine in Kenai, AK

Q: What is Ray Carlson's NPI number?

The NPI number for Ray Carlson is 1114077468. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Ray Carlson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Ray Carlson enrolled in Medicare?

No. Ray Carlson has opted out of Medicare through September 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Ray Carlson was last updated on February 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Ray Lynn Carlson M.d. NPPES

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

MR. RAY LYNN CARLSON M.D. (NPI 1114077468) is an individual family medicine provider in Kenai, Alaska, licensed in Alaska (AK2778) and active in the NPI registry since January 2007. He has opted out of Medicare through September 28, 2026.

NPPES Registry Identity

NPI1114077468

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. RAY LYNN CARLSONCredential: M.D.

Location Address10543 KENAI SPUR HWYKenai, AK 99611-7812

Mailing AddressPo Box 240Kenai, AK 99611-0240 · (907) 283-9118 · Fax (907) 283-5341

Phone(907) 283-9118

Fax(907) 283-5341

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateFebruary 14, 2014

✔ NPI 1114077468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AK · AK2778

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

10543 KENAI SPUR HWY, Kenai, AK 99611

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Other Identifiers 2

MedicaidMD2778AK

Medicare UPINE91295AK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Ray Lynn Carlson M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 28, 2020 through September 28, 2026.

Opt-Out Effective DateSeptember 28, 2020

Opt-Out In Effect ThroughSeptember 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

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Family Medicine