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

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: October 25, 2026.

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 Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Adam Carlson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carlson Eye Care, LLC
Same address
Optometrist
55 CAMPAU AVE NW, SUITE 10
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1215605134 (616) 459-7380
Cherry Street Services, Inc.
1.1 mi
Federally Qualified Health Center (FQHC)
550 CHERRY ST SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 115 clinicians in this Medicare group
NPI 1558459164 (616) 235-7289

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

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.

Which organizations bill Medicare for Adam Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Carlson reassigns Medicare benefits to 2 organizations: Carlson Eye Care, LLC (Grand Rapids, MI) and Cherry Street Services, Inc. (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Carlson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Health and Oscar Health Insurance and 7 other insurers 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.