KATIE SUE CARSON MD
NPI 1346703840
Family Medicine in Indianapolis, IN

Active since April 11, 2019PECOS EnrolledAccepts Medicare Assignment
91.23/100
CMS Quality Rating
1520 N SENATE AVE, INDIANAPOLIS, IN 46202(317) 962-0857 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 15, 2025, Mar 14, 2023, Feb 22, 2023 and 2 more (5 updates tracked since 2019).

About Katie Sue Carson Md NPPES

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

KATIE SUE CARSON MD (NPI 1346703840) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01088110A) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Eskenazi Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346703840
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATIE SUE CARSONCredential: MD
Location Address1520 N SENATE AVEIndianapolis, IN 46202-2213
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 11, 2019
Last NPPES UpdateSeptember 15, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1346703840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01088110A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1520 N SENATE AVE, Indianapolis, IN 46202

Secondary Practice Locations 3

Location 11520 N Senate AveIndianapolis, IN 46202-2213 · Phone (317) 962-0857
Location 2720 Eskenazi AveIndianapolis, IN 46202-5187 · Phone (317) 880-7666
Location 31351 Ronald Reagan Pkwy Ste BAvon, IN 46123-6764 · Phone (317) 948-3200 · Fax (317) 217-2424

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

Katie Sue Carson 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 ID7517291503
PECOS Enrollment IDI20220714002780
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization dataset. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
106 services61 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
35 services21 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.
33 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
26 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Eskenazi Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150024
Location720 Eskenazi AvenueIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

91.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.99
Promoting Interoperability99
Improvement Activities40
Cost54.28

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.

Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Pharmacist
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Pharmacist
1520 N SENATE AVE, IU METHODIST FAMILY PRACTICE CENTER
INDIANAPOLIS, IN 46202
Marriage & Family Therapist
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Clinic/Center (Health Service)
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346703840, enumerated as an "individual" on April 11, 2019.

The provider is located at 1520 N SENATE AVE INDIANAPOLIS, IN 46202 and the phone number is (317) 962-0857.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Katie Carson is affiliated with: ESKENAZI HEALTH, INDIANA UNIVERSITY HEALTH and IU HEALTH WEST HOSPITAL.