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DOUGLAS L CARLSON MD
NPI 1336294438
Obstetrics & Gynecology in West Allis, WI

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
8905 W LINCOLN AVE, SUITE # 515, WEST ALLIS, WI 53227(414) 328-8650(414) 328-8660 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Dec 18, 2019 (2 updates tracked since 2019).

About Douglas L Carlson Md NPPES

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

DOUGLAS L CARLSON MD (NPI 1336294438) is an individual obstetrics & gynecology provider in West Allis, Wisconsin, licensed in Wisconsin (29192) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1985).

NPPES Registry Identity

NPI1336294438
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDOUGLAS L CARLSONCredential: MD
Location Address8905 W LINCOLN AVE, SUITE # 515West Allis, WI 53227-2468
Mailing Address8905 W Lincoln Ave, Suite # 515West Allis, WI 53227-2468 · (414) 328-8650 · Fax (414) 328-8660
Phone(414) 328-8650
Fax(414) 328-8660
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1985
Enumeration DateJanuary 25, 2007
Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration
NPPES CertifiedNovember 30, 2021
✔ NPI 1336294438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 29192
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.
8905 W LINCOLN AVE, West Allis, WI 53227
Open in Google Maps ↗

Other Identifiers 1

Medicaid31956900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Douglas L 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 ID1456536390
PECOS Enrollment IDI20110419000836
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
21 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services16 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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.

MICHELLE J. RICK R.N., NP-C
Nurse Practitioner
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229
KAREN E. DOBBS M.D.
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229
STACY MICHELLE SYRCLE MD
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229
TAYLOR GEIER MD
Obstetrics & Gynecology
8905 W LINCOLN AVE
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8650
CHERYL ANN JAEGER CNM
Advanced Practice Midwife
8905 W LINCOLN AVE, SUITE 515
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8650
SCOTT A KAMELLE MD
Obstetrics & Gynecology (Gynecologic Oncology)
8905 W LINCOLN AVE
WEST ALLIS, WI 53227
Milwaukee County (414) 329-5651
DR. SUSAN L DARMSTADTER M.D.
Internal Medicine (Pulmonary Disease)
8905 W LINCOLN AVE, STE 401
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8270
LISA B. LLOYD
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229

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 Douglas Carlson's NPI number?

The NPI number for Douglas Carlson is 1336294438. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Douglas Carlson located?

Douglas Carlson practices at 8905 W Lincoln Ave Suite # 515, West Allis, WI 53227. The listed phone number is (414) 328-8650.

What is Douglas Carlson's specialty?

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

Is Douglas Carlson enrolled in Medicare?

Yes. Douglas 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 Douglas Carlson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Douglas 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.

Is Douglas Carlson affiliated with any hospitals?

According to CMS data, Douglas Carlson is affiliated with Ascension SE Wisconsin Hospital and West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Carlson was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.