MARK D. CARLSON M.D.
NPI 1144347568
Obstetrics & Gynecology in Elkhorn, NE
About Mark D. Carlson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK D. CARLSON M.D. (NPI 1144347568) is an individual obstetrics & gynecology provider in Elkhorn, Nebraska, licensed in Nebraska (24086) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of University Of Nebraska College Of Medicine (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted 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
Mark D. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Carlson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Omaha, NE 68114
- Reassigned Medicare billing, Nebraska enrollment
- 544 clinicians in this Medicare group
Omaha, NE 68114
- Reassigned Medicare billing, Nebraska enrollment
- 239 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Nebraska Methodist Hospital
Acute Care Hospitals · Omaha, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68022 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mark Carlson's NPI number?
The NPI number for Mark Carlson is 1144347568. It was assigned to this individual provider in the NPPES registry on March 22, 2007.
Where is Mark Carlson located?
Mark Carlson practices at 717 N 190th Plz Ste. # 1100, Elkhorn, NE 68022. The listed phone number is (402) 815-1700.
What is Mark Carlson's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Mark Carlson enrolled in Medicare?
Yes. Mark 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 Mark Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Carlson reassigns Medicare benefits to 2 organizations: Physicians Clinic Inc (Omaha, NE) and Nebraska Methodist Hospital (Omaha, NE). 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 Mark Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Carlson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company and 2 other insurers list Mark 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 Mark Carlson affiliated with any hospitals?
According to CMS data, Mark Carlson is affiliated with The Nebraska Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Mark Carlson was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.