CATHERINE ANN CARLSON
NPI 1346656980
Physician Assistant in Gainesville, GA

Active since July 03, 2014PECOS EnrolledAccepts Medicare Assignment
89.01/100
CMS Quality Rating
1315 JESSE JEWELL PKWY NE, GAINESVILLE, GA 30501(770) 219-6520 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Catherine Ann Carlson NPPES

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

CATHERINE ANN CARLSON (NPI 1346656980) is an individual physician assistant in Gainesville, Georgia and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346656980
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCATHERINE ANN CARLSON
Location Address1315 JESSE JEWELL PKWY NEGainesville, GA 30501-3822
Mailing Address1315 Jesse Jewell Pkwy NeGainesville, GA 30501-3822
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 3, 2014
Last NPPES UpdateNovember 22, 2023
NPPES CertifiedNovember 22, 2023
NPI 1346656980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
1315 JESSE JEWELL PKWY NE, Gainesville, GA 30501

Accepted 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

Catherine Ann Carlson 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 ID7012134448
PECOS Enrollment IDI20140808000857, I20180618001400
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 13

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
590 services129 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
214 services172 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.
209 services169 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
136 services117 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.
70 services63 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
49 services32 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

89.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.02
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
1315 JESSE JEWELL PKWY NE, SUITE 300
GAINESVILLE, GA 30501
Internal Medicine
1315 JESSE JEWELL PKWY NE, SUITE #110
GAINESVILLE, GA 30501
Orthopaedic Surgery
1315 JESSE JEWELL PKWY NE, SUITE 300
GAINESVILLE, GA 30501
Anesthesiology (Pain Medicine)
1315 JESSE JEWELL PKWY NE, SUITE 300
GAINESVILLE, GA 30501
Neurological Surgery
1315 JESSE JEWELL PKWY NE, SUITE 300
GAINESVILLE, GA 30501
Internal Medicine
1315 JESSE JEWELL PKWY NE, SUITE 110
GAINESVILLE, GA 30501
Urology
1315 JESSE JEWELL PKWY NE
GAINESVILLE, GA 30501
Nurse Practitioner
1315 JESSE JEWELL PKWY NE, SUITE 300
GAINESVILLE, GA 30501

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 Catherine Carlson's NPI number?

The NPI number for Catherine Carlson is 1346656980. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Where is Catherine Carlson located?

Catherine Carlson practices at 1315 Jesse Jewell Pkwy NE, Gainesville, GA 30501. The listed phone number is (770) 219-6520.

What is Catherine Carlson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Catherine Carlson enrolled in Medicare?

Yes. Catherine 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 Catherine Carlson accept?

Health plans from Medica and Oscar Insurance Company list Catherine 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 Catherine Carlson affiliated with any hospitals?

According to CMS data, Catherine Carlson is affiliated with Mercyone Des Moines Medical Center.

When was this NPI record last updated?

The NPPES record for Catherine Carlson was last updated on November 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.