DR. DAVID EDMUND CARLSON M.D.
NPI 1194717652
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Abilene, TX

Q: What is David Carlson's NPI number?

The NPI number for David Carlson is 1194717652. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Q: What is David Carlson's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for David Carlson was last updated on October 2, 2014. 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.

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment

86.92/100

CMS Quality Rating

1150 N 18TH ST, STE. 401, ABILENE, TX 79601(325) 670-4560(325) 670-4559 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. David Edmund Carlson M.d. NPPES

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

DR. DAVID EDMUND CARLSON M.D. (NPI 1194717652) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Abilene, Texas, licensed in Texas (G9075) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Rolling Plains Memorial Hospital, and is a graduate of Indiana University School Of Medicine (1978).

NPPES Registry Identity

NPI1194717652

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameDR. DAVID EDMUND CARLSONCredential: M.D.

Location Address1150 N 18TH ST, STE. 401Abilene, TX 79601-2948

Mailing AddressPo Box 1198Abilene, TX 79604-1198 · (325) 670-4372 · Fax (325) 670-4040

Phone(325) 670-4560

Fax(325) 670-4559

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1978

Enumeration DateAugust 19, 2005

Last NPPES UpdateOctober 2, 2014

✔ NPI 1194717652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in TX · G9075

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1150 N 18TH ST, Abilene, TX 79601

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Other Identifiers 3

Medicare UPINC14203TX

Medicare ID-Type Unspecified8238B0TX

Medicaid1232381-05TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Dr. David Edmund 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 ID5496732570

PECOS Enrollment IDI20091116000298

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 14

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.

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.

55 services54 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

51 services26 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

46 services46 patients

Removal of blood clot and portion of chest, neck, or brain artery 35301

This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.

41 services36 patients

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.

38 services33 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.

37 services37 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

32 services31 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

26 services26 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

22 services16 patients

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

20 services20 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.

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 services16 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

15 services15 patients

Coronary artery bypass using vein or artery graft, 2 grafts 33518

A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Rolling Plains Memorial Hospital

Acute Care Hospitals · Sweetwater, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450055

Location200 E ArizonaSweetwater, TX 79556 · Nolan County

Emergency services Birthing friendly

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450229

Location1900 PineAbilene, TX 79601 · Taylor County

Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number450587

Location1501 Burnet DrBrownwood, TX 76801 · Brown County

Emergency services Birthing friendly

Coleman County Medical Center Company

Critical Access Hospitals · Coleman, TX

OwnershipProprietary

CMS Certification Number451347

Location310 South Pecos StreetColeman, TX 76834 · Coleman County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79601 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

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.

86.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

80.91

Promoting Interoperability

Improvement Activities

Cost

71.97

Reported Quality Measures

Breast Cancer Screening

19%37 patients1/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

70%37 patients4/55-star benchmark: 87%

Controlling High Blood Pressure

71%137 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

100%29 patients5/55-star benchmark: 99%

Diabetes: Eye Exam

9%54 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

48%54 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

53%558 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

11%236 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

24%277 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

7%234 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

25%110 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 24% · 275 patients

Patients screened: 28% · 275 patients

48%21 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

84%70 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

90%258 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 232 patients

Patients totalRate: 7% · 235 patients

8%235 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

SUSAN TAYLOR PA-C

Physician Assistant (Medical)

1150 N 18TH ST
ABILENE, TX 79601

Jones County (325) 670-6460

PODIATRIC MEDICAL PARTNERS OF TEXAS, PA

Podiatrist

1150 N 18TH ST, SUITE 206
ABILENE, TX 79601

Jones County (325) 695-1890

JOSEPH MARTIN FERGUSON M.D.

Internal Medicine

1150 N 18TH ST, SUITE 300
ABILENE, TX 79601

Jones County (325) 670-6456

HENRY H ROBINSON P.A.

Physician Assistant

1150 N 18TH ST, SUITE 300
ABILENE, TX 79601

Jones County (325) 670-6466

MARTIN VAN SLOAN D.P.M.

Podiatrist

1150 N 18TH ST, STE 206
ABILENE, TX 79601

Jones County (325) 695-1890

TERESA FRANCES SOWA NP-C

Nurse Practitioner (Family)

1150 N 18TH ST
ABILENE, TX 79601

Jones County (325) 670-5530

CONALD W COX JR. MD

Internal Medicine (Nephrology)

1150 N 18TH ST, SUITE 203
ABILENE, TX 79601

Jones County (325) 673-4757

CLINTON PETER CAVUOTI JR. M.D.

Internal Medicine

1150 N 18TH ST, SUITE 300
ABILENE, TX 79601

Jones County (325) 670-6458

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 David Carlson's NPI number?

The NPI number for David Carlson is 1194717652. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is David Carlson located?

David Carlson practices at 1150 N 18th St Ste. 401, Abilene, TX 79601. The listed phone number is (325) 670-4560.

What is David Carlson's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is David Carlson enrolled in Medicare?

Yes. David 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 David Carlson accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list David 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 David Carlson affiliated with any hospitals?

According to CMS data, David Carlson is affiliated with Rolling Plains Memorial Hospital, Hendrick Medical Center, Hendrick Medical Center Brownwood and Coleman County Medical Center Company.

When was this NPI record last updated?

The NPPES record for David Carlson was last updated on October 2, 2014. 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.