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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ERIC JOHN CARLSON D.O.
NPI 1316995574
Obstetrics & Gynecology - Maternal & Fetal Medicine in Wynnewood, PA

Active since May 04, 2006PECOS Enrolled
100 E LANCASTER AVE, 353 MEDICAL OFFICE BUILDING EAST, WYNNEWOOD, PA 19096(610) 649-9021(610) 649-8058 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric John Carlson D.o. NPPES

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

ERIC JOHN CARLSON D.O. (NPI 1316995574) is an individual maternal & fetal medicine provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (OS011047L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2000).

NPPES Registry Identity

NPI1316995574
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameERIC JOHN CARLSONCredential: D.O.
Location Address100 E LANCASTER AVE, 353 MEDICAL OFFICE BUILDING EASTWynnewood, PA 19096-3450
Mailing Address100 E Lancaster Ave, 353 Medical Office Building EastWynnewood, PA 19096-3450 · (610) 649-9021 · Fax (610) 649-8058
Phone(610) 649-9021
Fax(610) 649-8058
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2000
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1316995574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in PA · OS011047L✔ Licensed in NJ · 25MB06319700
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
100 E LANCASTER AVE, Wynnewood, PA 19096
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Other Identifiers 15

Other0184927006PA · Americhoice
Other02640PA · Health Partners
Other1652891PA · Bc/bs Highmark Group
Other2330386000PA · Bc/bs Key, Per. Group
Other33658PA · Health Partners
Other3716959PA · Aetna Us Healthcare Group
Medicaid00184927PA
Other00866773000PA · Bc/bs Keystone, Personal
Other33657PA · Health Partners
Other33659PA · Health Partners
Other3716982PA · Aetna Us Healthcare Hmo
Other30018993PA · Keystone Mercy
Other923742PA · Bc/bs Shield Highmark
Other30018989PA · Keystone Mercy Group
Other5824670PA · Aetna Us Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Eric John Carlson 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 ID5294790648
PECOS Enrollment IDI20041130000004
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19096 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

DR. AKHNUWKH JONES M.D.
Internal Medicine
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
AMANDA B CHRISTINI MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION, SUITE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
LAI KWAN LOUIE RPH
Pharmacist
100 E LANCASTER AVE, SUITE #12
WYNNEWOOD, PA 19096
Montgomery County (610) 658-8640
DANIEL WANG MD
Internal Medicine
100 E LANCASTER AVE, 4 PAVILION STE 4303
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
SARAH TYRRELL CRNA
Nurse Anesthetist, Certified Registered
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 645-2000
MARGARET MACK
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (610) 642-3796
XIAOLING YU MD
Hospitalist
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-6421
JONATHAN HONGYI CHEN MD
Student in an Organized Health Care Education/Training Program
100 E LANCASTER AVE
WYNNEWOOD, PA 19096
Montgomery County (484) 476-2000

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 Eric Carlson's NPI number?

The NPI number for Eric Carlson is 1316995574. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Eric Carlson located?

Eric Carlson practices at 100 E Lancaster Ave 353 Medical Office Building East, Wynnewood, PA 19096. The listed phone number is (610) 649-9021.

What is Eric Carlson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Eric Carlson enrolled in Medicare?

Yes. Eric 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 Eric Carlson accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Eric 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.

When was this NPI record last updated?

The NPPES record for Eric Carlson was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.