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ERIC R. CARLSON MD, DMD
NPI 1174616171
Oral & Maxillofacial Surgery in Toledo, OH

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
3000 ARLINGTON AVE STE 2, TOLEDO, OH 43614(419) 383-3759(419) 383-2962 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2026, Apr 7, 2025 (2 updates tracked since 2025).

About Eric R. Carlson Md, Dmd NPPES

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

ERIC R. CARLSON MD, DMD (NPI 1174616171) is an individual oral & maxillofacial surgery provider in Toledo, Ohio, licensed in Ohio (35.147724) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1174616171
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameERIC R. CARLSONCredential: MD, DMD
Location Address3000 ARLINGTON AVE STE 2Toledo, OH 43614-2595
Mailing Address3000 Arlington Ave Stop 1108Toledo, OH 43614-2595
Phone(419) 383-3759
Fax(419) 383-2962
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2000
Enumeration DateOctober 2, 2006
Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1174616171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in OH · 35.147724✔ Licensed in TN · MD38394✔ Licensed in TN · 7998
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedSurgeryTaxonomy 208600000X · License 35.147724 (OH)
3000 ARLINGTON AVE STE 2, Toledo, OH 43614
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Secondary Practice Location 1

Location 11930 Alcoa Hwy, Ste 335Knoxville, TN 37920-1585 · Phone (865) 305-9022 · Fax (865) 305-9026

Other Identifiers 1

Medicaid3227456TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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

Eric R. Carlson Md, Dmd 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 ID5294704565
PECOS Enrollment IDI20250411002073
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 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.
262 services160 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services36 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.
24 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Eric Carlson's NPI number?

The NPI number for Eric Carlson is 1174616171. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Eric Carlson located?

Eric Carlson practices at 3000 Arlington Ave Ste 2, Toledo, OH 43614. The listed phone number is (419) 383-3759.

What is Eric Carlson's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Eric Carlson enrolled in Medicare?

Yes. Eric 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 Eric Carlson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Eric 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 Eric Carlson affiliated with any hospitals?

According to CMS data, Eric Carlson is affiliated with University Of Toledo Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Carlson was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.