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DR. MALCOLM CARSON MD
NPI 1164925947
General Practice in Edison, NJ

Active since March 17, 2018PECOS EnrolledAccepts Medicare Assignment
94.56/100
CMS Quality Rating

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, Aug 11, 2023, Nov 6, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Malcolm Carson Md NPPES

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

DR. MALCOLM CARSON MD (NPI 1164925947) is an individual general practice provider in Edison, New Jersey, licensed in New York (300740) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Emory University School Of Medicine (2018).

NPPES Registry Identity

NPI1164925947
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MALCOLM CARSONCredential: MD
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address3629 Ridgewood WayRichmond, CA 94806-1943
Phone(732) 321-7000
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2018
Enumeration DateMarch 17, 2018
Last NPPES UpdateNovember 6, 20194 updates tracked since enumeration
✔ NPI 1164925947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 300740
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
65 JAMES ST, Edison, NJ 08820
Open in Google Maps ↗

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. Malcolm Carson Md 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 ID7214289321
PECOS Enrollment IDI20231006000265
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 6

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.
75 services46 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.
27 services24 patients
Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle 95874
This procedure involves a needle that measures the electrical activity in your muscles. A chemical is then injected to temporarily paralyze the nerve muscle. This helps in diagnosing and treating certain muscle or nerve conditions.
23 services13 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.
19 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

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.

DR. LAMA EL ZEIN M.D
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
MARLINE SPENCER RN, MSN, NP-C
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 744-5537
MARIA P MASIH MD
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7487
KRISSA MATARLO-SMITH APN
Nurse Practitioner (Adult Health)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7733
ASHLEY MARGARITONDO DPT
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
MICHAEL D. CALI MD
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000
STACEY JOU MD
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7070
MERARI SINGH APN
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 321-7000

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 Malcolm Carson's NPI number?

The NPI number for Malcolm Carson is 1164925947. It was assigned to this individual provider in the NPPES registry on March 17, 2018.

Where is Malcolm Carson located?

Malcolm Carson practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7000.

What is Malcolm Carson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Malcolm Carson enrolled in Medicare?

Yes. Malcolm Carson 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.

Is Malcolm Carson affiliated with any hospitals?

According to CMS data, Malcolm Carson is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Malcolm Carson was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.