TODD J CARLSON M.D.
NPI 1164475554
Family Medicine in Port Townsend, WA

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
83.81/100
CMS Quality Rating
915 SHERIDAN ST, SUITE B103, PORT TOWNSEND, WA 98368(360) 379-8031(360) 385-0418 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Todd J Carlson M.d. NPPES

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

TODD J CARLSON M.D. (NPI 1164475554) is an individual family medicine provider in Port Townsend, Washington, licensed in Washington (MD00038106) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and is a graduate of University Of Minnesota Medical School (1996).

NPPES Registry Identity

NPI1164475554
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTODD J CARLSONCredential: M.D.
Location Address915 SHERIDAN ST, SUITE B103Port Townsend, WA 98368-2931
Mailing Address915 Sheridan St, Suite B103Port Townsend, WA 98368-2931 · (360) 379-8031 · Fax (360) 385-0418
Fax(360) 385-0418
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1996
Enumeration DateMay 18, 2006
Last NPPES UpdateSeptember 1, 2011
NPI 1164475554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD00038106
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

915 SHERIDAN ST, Port Townsend, WA 98368

Other Identifiers 4

Medicare UPING74827WA
Medicaid1109834WA
Medicare ID-Type UnspecifiedGAB37466WA
OtherAB37466WA · Medicare Rhc

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

Todd J 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 ID6800076514
PECOS Enrollment IDI20110214000392
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.

Hospital Affiliations CMS Care Compare 3

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

Harrison Medical Center

Acute Care Hospitals · Bremerton, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500039
Location2520 Cherry AvenueBremerton, WA 98310 · Kitsap County
Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501323
Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98368 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

83.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.26
Promoting Interoperability80
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers38 claims101 services$5.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims13 services$1.14 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers14 claims14 services$74.86 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims66 services$3.23 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier19 claims19 services$34.15 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier13 claims13 services$170.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
915 SHERIDAN ST, SUITE B103
PORT TOWNSEND, WA 98368
Nurse Practitioner (Women's Health)
915 SHERIDAN ST, SUITE B103
PORT TOWNSEND, WA 98368
Family Medicine
915 SHERIDAN ST, SUITE B103
PORT TOWNSEND, WA 98368
Family Medicine
915 SHERIDAN ST, SUITE B103
PORT TOWNSEND, WA 98368
Dental Hygienist
915 SHERIDAN ST
PORT TOWNSEND, WA 98368
Physician Assistant
915 SHERIDAN ST
PORT TOWNSEND, WA 98368
Family Medicine
915 SHERIDAN ST
PORT TOWNSEND, WA 98368
Pharmacy (Community/Retail Pharmacy)
915 SHERIDAN ST
PORT TOWNSEND, WA 98368

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 Todd Carlson's NPI number?

The NPI number for Todd Carlson is 1164475554. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Todd Carlson located?

Todd Carlson practices at 915 Sheridan St Suite B103, Port Townsend, WA 98368. The listed phone number is (360) 379-8031.

What is Todd Carlson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Todd Carlson enrolled in Medicare?

Yes. Todd 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 Todd Carlson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Todd 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 Todd Carlson affiliated with any hospitals?

According to CMS data, Todd Carlson is affiliated with Harrison Medical Center, Olympic Medical Center and Jefferson Healthcare.

When was this NPI record last updated?

The NPPES record for Todd Carlson was last updated on September 1, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.