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MARK D. CARLSON M.D.
NPI 1144347568
Obstetrics & Gynecology in Elkhorn, NE

Active since March 22, 2007PECOS EnrolledAccepts Medicare Assignment
717 N 190TH PLZ, STE. # 1100, ELKHORN, NE 68022(402) 815-1700(402) 815-1959 Get Directions Write a Review

NPPES record last updated: June 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1144347568
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARK D. CARLSONCredential: M.D.
Location Address717 N 190TH PLZ, STE. # 1100Elkhorn, NE 68022-3917
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155
Phone(402) 815-1700
Fax(402) 815-1959
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2003
Enumeration DateMarch 22, 2007
Last NPPES UpdateJune 29, 2015
✔ NPI 1144347568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NE · 24086✔ Licensed in KS · 0431506
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.
717 N 190TH PLZ, Elkhorn, NE 68022
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN281598NE
Medicaid1144347568IA
Medicaid10026301600NE
Medicaid47068731799NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

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.

PECOS PAC ID2668563008
PECOS Enrollment IDI20070814000408
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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
25 services25 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
25 services25 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.
13 services13 patients

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, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Physician 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.

New Patient
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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 20

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

JUDITH ANN SCOTT D.O.
Obstetrics & Gynecology
717 N 190TH PLZ, STE. #1100
ELKHORN, NE 68022
Douglas County (402) 815-1700
MRS. BONNIE WILKERSON PA-C
Physician Assistant
717 N 190TH PLZ, STE. 1100
ELKHORN, NE 68022
Douglas County (402) 815-1700
ANNAMARIA NAGY M.D.
Obstetrics & Gynecology
717 N 190TH PLZ, STE 1100
ELKHORN, NE 68022
Douglas County (402) 815-1700
DR. KRISTEN L HOFFMAN M.D.
Obstetrics & Gynecology
717 N 190TH PLZ, STE. 1100
ELKHORN, NE 68022
Douglas County (402) 815-1700
ALICIA L. WACHAL APRN
Nurse Practitioner
717 N 190TH PLZ, STE. 1100
ELKHORN, NE 68022
Douglas County (402) 815-1700
DR. JOHN R LOHRBERG M.D.
Family Medicine
717 N 190TH PLZ, STE 3200
ELKHORN, NE 68022
Douglas County (402) 815-1960
DR. JOAN E QUINN M.D.
Family Medicine
717 N 190TH PLZ, STE. 3200
ELKHORN, NE 68022
Douglas County (402) 815-1980
JENNIFER CATHERINE REISER M.D.
Pediatrics
717 N 190TH PLZ
ELKHORN, NE 68022
Douglas County (402) 815-1325

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.

What insurance does Mark Carlson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 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.