ALYSSA SNOW CARLSON M.D.
NPI 1205066388
Family Medicine in Boulder, CO

Active since July 22, 2009PECOS EnrolledAccepts Medicare Assignment
1645 BROADWAY, BOULDER, CO 80302(303) 415-8900(303) 443-6476 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2023, Nov 9, 2017, Nov 9, 2015 (3 updates tracked since 2015).

About Alyssa Snow Carlson M.d. NPPES

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

ALYSSA SNOW CARLSON M.D. (NPI 1205066388) is an individual family medicine provider in Boulder, Colorado, licensed in Colorado (DR.0050026) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2009).

NPPES Registry Identity

NPI1205066388
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALYSSA SNOW CARLSONCredential: M.D.
Location Address1645 BROADWAYBoulder, CO 80302-6218
Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 415-8900 · Fax (303) 443-6476
Fax(303) 443-6476
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2009
Enumeration DateJuly 22, 2009
Last NPPES UpdateOctober 20, 20233 updates tracked since enumeration
NPPES CertifiedOctober 20, 2023
NPI 1205066388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · DR.0050026
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.
1645 BROADWAY, Boulder, CO 80302

Other Names 1

Former Name (1)Alyssa Snow Gerritsen Md

Other Identifiers 1

Medicaid10202218CO

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

Alyssa Snow 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 ID1153579081
PECOS Enrollment IDI20120918000275
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 5

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.
244 services85 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
77 services77 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.
47 services24 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.
45 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80302 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers26 claims26 services$86.78 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 supplier17 claims17 services$184.44 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 9

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

Family Medicine
1645 BROADWAY
BOULDER, CO 80302
Internal Medicine
1645 BROADWAY
BOULDER, CO 80302
Physician Assistant
1645 BROADWAY
BOULDER, CO 80302
Family Medicine
1645 BROADWAY
BOULDER, CO 80302
Family Medicine
1645 BROADWAY
BOULDER, CO 80302
Clinic/Center (Primary Care)
1645 BROADWAY
BOULDER, CO 80302
Family Medicine
1645 BROADWAY
BOULDER, CO 80302
Family Medicine
1645 BROADWAY
BOULDER, CO 80302

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 Alyssa Carlson's NPI number?

The NPI number for Alyssa Carlson is 1205066388. It was assigned to this individual provider in the NPPES registry on July 22, 2009. The provider is also known as Alyssa Snow Gerritsen MD.

Where is Alyssa Carlson located?

Alyssa Carlson practices at 1645 Broadway, Boulder, CO 80302. The listed phone number is (303) 415-8900.

What is Alyssa Carlson's specialty?

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

Is Alyssa Carlson enrolled in Medicare?

Yes. Alyssa 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.

When was this NPI record last updated?

The NPPES record for Alyssa Carlson was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.