DR. DONALD C. CARSON D.O.
NPI 1245595040
Family Medicine - Sports Medicine in Baton Rouge, LA

Q: What is Donald Carson's NPI number?

The NPI number for Donald Carson is 1245595040. It was assigned to this individual provider in the NPPES registry on July 8, 2012.

Q: What is Donald Carson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Donald Carson was last updated on February 19, 2020. 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.

Active since July 08, 2012PECOS EnrolledAccepts Medicare Assignment

85.14/100

CMS Quality Rating

7566 PICARDY AVE, BATON ROUGE, LA 70808(225) 765-5500 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Donald C. Carson D.o. NPPES

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

DR. DONALD C. CARSON D.O. (NPI 1245595040) is an individual sports medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (DO.000439) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Kings Daughters Medical Center Ohio, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245595040

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. DONALD C. CARSONCredential: D.O.

Location Address7566 PICARDY AVEBaton Rouge, LA 70808-4333

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 526-0006 · Fax (225) 765-9291

Phone(225) 765-5500

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 8, 2012

Last NPPES UpdateFebruary 19, 2020

✔ NPI 1245595040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in LA · DO.000439

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License DO.000439 (LA), 036.135934 (IL)

7566 PICARDY AVE, Baton Rouge, LA 70808

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Donald C. Carson D.o. 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 ID7517107501

PECOS Enrollment IDI20230519002056

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.

Medicare Billing Reassignment

Medicare enrollment records show Donald Carson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kings Daughters Medical Specialties Inc

693 mi

Physical Medicine & Rehabilitation

1279 OLD ABBOTT MOUNTAIN RD
Prestonsburg, KY 41653

Reassigned Medicare billing, Ohio enrollment
177 clinicians in this Medicare group

NPI 1710215736 (606) 886-1260

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

90 services12 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.

48 services44 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.

26 services26 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.

16 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360361

Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

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.

85.14/100

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

Scored as part of a group practice

Quality

85.8

Promoting Interoperability

100

Improvement Activities

Cost

58.96

Other Providers at the Same Location NPPES 3

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

JAMES MICHAEL ROBINSON M.D.

Family Medicine (Sports Medicine)

7566 PICARDY AVE
BATON ROUGE, LA 70808

East Baton Rouge Parish (225) 765-5500

MRS. KATE M MELDER LDN, RD, CDE

Dietitian, Registered

7566 PICARDY AVE
BATON ROUGE, LA 70808

East Baton Rouge Parish (225) 767-3115

KELECHI UGOCHI AKAMIRO MD

Family Medicine (Sports Medicine)

7566 PICARDY AVE
BATON ROUGE, LA 70808

East Baton Rouge Parish (225) 765-5500

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 Donald Carson's NPI number?

The NPI number for Donald Carson is 1245595040. It was assigned to this individual provider in the NPPES registry on July 8, 2012.

Where is Donald Carson located?

Donald Carson practices at 7566 Picardy Ave, Baton Rouge, LA 70808. The listed phone number is (225) 765-5500.

What is Donald Carson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Donald Carson enrolled in Medicare?

Yes. Donald 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.

Which organization bills Medicare for Donald Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Carson reassigns Medicare benefits to Kings Daughters Medical Specialties Inc (Prestonsburg, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Carson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Donald Carson 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 Donald Carson affiliated with any hospitals?

According to CMS data, Donald Carson is affiliated with Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Donald Carson was last updated on February 19, 2020. 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.