MISS CHARLOTTE MARY CARLSON M.D.
NPI 1134446875
Internal Medicine - Geriatric Medicine in Santa Rosa, CA

Q: What is Charlotte Carlson's NPI number?

The NPI number for Charlotte Carlson is 1134446875. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Q: What is Charlotte Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Charlotte Carlson was last updated on January 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment

2455 SUMMERFIELD RD, SANTA ROSA, CA 95405(707) 308-2815(707) 573-5439 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Miss Charlotte Mary Carlson M.d. NPPES

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

MISS CHARLOTTE MARY CARLSON M.D. (NPI 1134446875) is an individual geriatric medicine provider in Santa Rosa, California, licensed in California (1009320) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Francisco School Of Medicine (2010).

NPPES Registry Identity

NPI1134446875

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NameMISS CHARLOTTE MARY CARLSONCredential: M.D.

Location Address2455 SUMMERFIELD RDSanta Rosa, CA 95405-7815

Mailing Address2455 Summerfield RdSanta Rosa, CA 95405-7815 · (707) 308-2815 · Fax (707) 573-5439

Phone(707) 308-2815

Fax(707) 573-5439

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2010

Enumeration DateApril 20, 2010

Last NPPES UpdateJanuary 29, 2020

✔ NPI 1134446875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CA · 1009320

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

2455 SUMMERFIELD RD, Santa Rosa, CA 95405

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Secondary Practice Locations 2

Location 14700 Hoen AveSanta Rosa, CA 95405-7824 · Phone (707) 308-2815 · Fax (707) 573-5439

Location 2131 Stony Cir Ste 1600Santa Rosa, CA 95401-9520 · Phone (707) 308-2815 · Fax (707) 573-5439

Other Identifiers 1

OtherA119269CA · State Medical License

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

Miss Charlotte Mary Carlson M.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 ID1355642281

PECOS Enrollment IDI20200205002906

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 10

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 high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

348 services195 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

290 services143 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.

138 services115 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

72 services61 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

57 services57 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

56 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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

$187.01 typical visit price

range $63.04 – $187.01

Typical copayment $46.75 (range $15.76 – $46.75)

Most-billed visit code 99205

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 9

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

GARY NICHOLS M.D.

Internal Medicine