Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MILINDA R CARSON M.D.
NPI 1275572034
Obstetrics & Gynecology in Madison, WI

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
20 S PARK ST, MADISON, WI 53715(608) 287-2830 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2026, Jul 16, 2026, Nov 18, 2024 (3 updates tracked since 2024).

About Dr. Milinda R Carson M.d. NPPES

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

DR. MILINDA R CARSON M.D. (NPI 1275572034) is an individual obstetrics & gynecology provider in Madison, Wisconsin, licensed in Wisconsin (86996) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1275572034
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MILINDA R CARSONCredential: M.D.
Location Address20 S PARK STMadison, WI 53715-1348
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJune 6, 2006
Last NPPES UpdateSeptember 11, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1275572034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 86996
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License MA05970500 (NJ), 281313 (MA)
20 S PARK ST, Madison, WI 53715

Secondary Practice Locations 3

Location 1203 Passaic AvePassaic, NJ 07055-4717 · Phone (973) 246-6999 · Fax (973) 685-7340
Location 2850 Harrison Avenue, FL 4, Yawkey BldgBoston, MA 02118-4001 · Phone (617) 414-2000
Location 3680 Centre StBrockton, MA 02302-3308 · Phone (508) 941-7000

Other Identifiers 2

Medicaid110159360AMA
Medicaid6939902NJ

Accepted 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. Milinda R Carson 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 ID6305804659
PECOS Enrollment IDI20191213000088, I20260615000219
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 Reassignments

9

Medicare enrollment records show Milinda Carson reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
7974 UW HEALTH COURT
Middleton, WI 53562
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,832 clinicians in this Medicare group
Anesthesiology
880 N TENNESSEE AVE STE 104
Martinsburg, WV 25401
  • Reassigned Medicare billing, West Virginia enrollment
  • 231 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD # BUILING1
Greenville, SC 29607
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group
Urgent Care
81 RESERVOIR DRIVE
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 218 clinicians in this Medicare group
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
Obstetrics & Gynecology
1 GENERAL ST
Lawrence, MA 01841
  • Reassigned Medicare billing, Massachusetts enrollment
  • 38 clinicians in this Medicare group
Obstetrics & Gynecology
565 TURNPIKE ST, SUITE 74
North Andover, MA 01845
  • Reassigned Medicare billing, Massachusetts enrollment
  • 24 clinicians in this Medicare group
Internal Medicine
110 LIBERTY ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 409 clinicians in this Medicare group
Obstetrics
680 CENTRE ST
Brockton, MA 02302
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Obhg Massachusetts - Direct PC
  • 100 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Psychiatry & Neurology (Neurology)
20 S PARK ST
MADISON, WI 53715
Obstetrics & Gynecology
20 S PARK ST, OB/GYN CLINIC
MADISON, WI 53715
Internal Medicine
20 S PARK ST
MADISON, WI 53715
Physician Assistant (Medical)
20 S PARK ST
MADISON, WI 53715
Pediatrics
20 S PARK ST
MADISON, WI 53715
Physician Assistant (Medical)
20 S PARK ST
MADISON, WI 53715
Obstetrics & Gynecology
20 S PARK ST
MADISON, WI 53715
Psychologist
20 S PARK ST
MADISON, WI 53715

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 Milinda Carson's NPI number?

The NPI number for Milinda Carson is 1275572034. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Milinda Carson located?

Milinda Carson practices at 20 S Park St, Madison, WI 53715. The listed phone number is (608) 287-2830.

What is Milinda Carson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Milinda Carson enrolled in Medicare?

Yes. Milinda 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 organizations bill Medicare for Milinda Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Milinda Carson reassigns Medicare benefits to 9 organizations: University Of Wisconsin Medical Foundation, Inc (Middleton, WI), City Hospital Inc (Martinsburg, WV), Ob Hospitalist Services New Jersey, PA (Greenville, SC), Heywood Medical Group Inc (Athol, MA), Henry Heywood Memorial Hospital (Gardner, MA) and 4 more organizations, listed in the Medicare section above. Each 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 Milinda Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Milinda Carson accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare, MercyCare Health Plans and Taro Health list Milinda 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 Milinda Carson affiliated with any hospitals?

According to CMS data, Milinda Carson is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Milinda Carson was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.