DR. JOHN PATRICK CARLSON MD
NPI 1215913199
Ophthalmology in Riverside, CA

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
9041 MAGNOLIA AVE, SUITE 207, RIVERSIDE, CA 92503(951) 788-0222(951) 784-2696 Get Directions Write a Review

NPPES record last updated: May 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Patrick Carlson Md NPPES

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

DR. JOHN PATRICK CARLSON MD (NPI 1215913199) is an individual ophthalmology provider in Riverside, California, licensed in California (A62397) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1995).

NPPES Registry Identity

NPI1215913199
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOHN PATRICK CARLSONCredential: MD
Location Address9041 MAGNOLIA AVE, SUITE 207Riverside, CA 92503-3900
Mailing Address9041 Magnolia Ave, Suite 207Riverside, CA 92503-3900 · (951) 788-0222 · Fax (951) 784-2696
Fax(951) 784-2696
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1995
Enumeration DateDecember 21, 2005
Last NPPES UpdateMay 27, 2011
NPI 1215913199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · A62397
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
9041 MAGNOLIA AVE, Riverside, CA 92503

Other Identifiers 6

Medicare PINAO391YCA
Medicare PINAS862YCA
Medicare PINAS862ZCA
Medicare UPINH06074CA
Medicare PINAS862XCA
Medicaid00A623970CA

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. John Patrick Carlson 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 ID9830125251
PECOS Enrollment IDI20070611000720
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 16

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
14,102 services56 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,768 services765 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,150 services310 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.
909 services664 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
436 services91 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
308 services241 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92503 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Optometrist
9041 MAGNOLIA AVE
RIVERSIDE, CA 92503
Specialist
9041 MAGNOLIA AVE, SUITE 107
RIVERSIDE, CA 92503
Clinic/Center (Urgent Care)
9041 MAGNOLIA AVE, SUITE 107
RIVERSIDE, CA 92503
Internal Medicine
9041 MAGNOLIA AVE, SUITE 302
RIVERSIDE, CA 92503
General Practice
9041 MAGNOLIA AVE, SUITE 107
RIVERSIDE, CA 92503
Family Medicine
9041 MAGNOLIA AVE, SUITE 105B
RIVERSIDE, CA 92503
Specialist
9041 MAGNOLIA AVE, 206
RIVERSIDE, CA 92503
Health Maintenance Organization
9041 MAGNOLIA AVE, SUITE 008
RIVERSIDE, CA 92503

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 John Carlson's NPI number?

The NPI number for John Carlson is 1215913199. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is John Carlson located?

John Carlson practices at 9041 Magnolia Ave Suite 207, Riverside, CA 92503. The listed phone number is (951) 788-0222.

What is John Carlson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is John Carlson enrolled in Medicare?

Yes. John 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 John Carlson was last updated on May 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.