DR. JOEL ANDREW CARLSON DO
NPI 1144200916
Obstetrics & Gynecology in Pocatello, ID

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
777 HOSPITAL WAY, BLDG A SUITE 300, POCATELLO, ID 83201(208) 233-1720(208) 239-3403 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joel Andrew Carlson Do NPPES

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

DR. JOEL ANDREW CARLSON DO (NPI 1144200916) is an individual obstetrics & gynecology provider in Pocatello, Idaho, licensed in Idaho (O-0407) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1994).

NPPES Registry Identity

NPI1144200916
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JOEL ANDREW CARLSONCredential: DO
Location Address777 HOSPITAL WAY, BLDG A SUITE 300Pocatello, ID 83201-5176
Mailing Address777 Hospital Way, Bldg A Suite 300Pocatello, ID 83201-5176 · (208) 233-1720 · Fax (208) 239-3403
Fax(208) 239-3403
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1994
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJuly 19, 2012
NPI 1144200916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in ID · O-0407 Licensed in IA · 3140
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.

777 HOSPITAL WAY, Pocatello, ID 83201

Other Identifiers 7

Medicare PIN1303225ID
Medicare UPING66167IA
Other546490ID · Deseret Mutual
OtherP00355281ID · Railroad Medicare
Other000010156981ID · Regence-blue Shield
OtherS6109ID · Blue Cross
Medicaid807508700ID

Accepted 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. Joel Andrew 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 ID7618961244
PECOS Enrollment IDI20060802000438
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 4

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.
66 services36 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
23 services23 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131323
Location100 Hospital DriveKetchum, ID 83340 · Blaine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
68%62 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
89%261 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%362 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
10%354 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 278 patients
Patients tobacco: 12% · 26 patients
91%278 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Psychologist (Adult Development & Aging)
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Anesthetist, Certified Registered
777 HOSPITAL WAY
POCATELLO, ID 83201
Anesthesiology
777 HOSPITAL WAY
POCATELLO, ID 83201
Nurse Practitioner (Family)
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201
Psychiatry & Neurology (Neurology)
777 HOSPITAL WAY, G15
POCATELLO, ID 83201
Physician Assistant
777 HOSPITAL WAY
POCATELLO, ID 83201

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 Joel Carlson's NPI number?

The NPI number for Joel Carlson is 1144200916. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Joel Carlson located?

Joel Carlson practices at 777 Hospital Way Bldg A Suite 300, Pocatello, ID 83201. The listed phone number is (208) 233-1720.

What is Joel Carlson's specialty?

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

Is Joel Carlson enrolled in Medicare?

Yes. Joel 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 Joel Carlson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Joel 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 Joel Carlson affiliated with any hospitals?

According to CMS data, Joel Carlson is affiliated with St Luke's Regional Medical Center and St Luke's Wood River Medical Center.

When was this NPI record last updated?

The NPPES record for Joel Carlson was last updated on July 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.