DR. ADAM MICHAEL CARLSON O.D.
NPI 1124352687
Optometrist in Grand Rapids, MI

Q: What is Adam Carlson's NPI number?

The NPI number for Adam Carlson is 1124352687. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Q: What is Adam Carlson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Adam Carlson was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 30, 2009PECOS EnrolledAccepts Medicare Assignment

55 CAMPAU AVE NW, STE 10, GRAND RAPIDS, MI 49503(616) 459-7380(616) 459-5752 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Adam Michael Carlson O.d. NPPES

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

DR. ADAM MICHAEL CARLSON O.D. (NPI 1124352687) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901004537) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2009).

NPPES Registry Identity

NPI1124352687

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. ADAM MICHAEL CARLSONCredential: O.D.

Location Address55 CAMPAU AVE NW, STE 10Grand Rapids, MI 49503-2642

Mailing Address55 Campau Ave Nw, Ste 10Grand Rapids, MI 49503-2642 · (616) 459-7380 · Fax (616) 459-5752

Phone(616) 459-7380

Fax(616) 459-5752

Sole ProprietorNo

Medical School CMSFerris State College - College Of OptometryGraduated 2009

Enumeration DateSeptember 30, 2009

Last NPPES UpdateJanuary 12, 2022

NPPES CertifiedJanuary 12, 2022

✔ NPI 1124352687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MI · 4901004537✔ Licensed in IN · 18003669A

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

55 CAMPAU AVE NW, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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. Adam Michael Carlson O.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 ID2163562406

PECOS Enrollment IDI20100508000074

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 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.

43 services43 patients

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.

29 services18 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

CARLSON EYE CARE, LLC

Optometrist

55 CAMPAU AVE NW, SUITE 10
GRAND RAPIDS, MI 49503

Kent County (616) 459-7380

DR. LISA MARIE SLADEK O.D.

Optometrist

55 CAMPAU AVE NW, SUITE 10
GRAND RAPIDS, MI 49503

Kent County (616) 459-7380

ANDERSON EYE CARE, LLC

Optometrist

55 CAMPAU AVE NW, RIVERFRONT PLAZA BLDG-SUITE #10
GRAND RAPIDS, MI 49503

Kent County (616) 459-7380

DR. GARY ALFRED ANDERSON O.D.

Optometrist

55 CAMPAU AVE NW, RIVERFRONT PLAZA BLDG SUITE 10
GRAND RAPIDS, MI 49503

Kent County (616) 459-7380

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 Adam Carlson's NPI number?

The NPI number for Adam Carlson is 1124352687. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Adam Carlson located?

Adam Carlson practices at 55 Campau Ave NW Ste 10, Grand Rapids, MI 49503. The listed phone number is (616) 459-7380.

What is Adam Carlson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Adam Carlson enrolled in Medicare?

Yes. Adam 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 Adam Carlson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and Providence Health Plan list Adam 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 Adam Carlson was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.