JAMES RUSSELL CARLSTEN MD
NPI 1376590794
Pathology - Anatomic Pathology & Clinical Pathology in Wakefield, RI

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
70 KENYON AVE, WAKEFIELD, RI 02879(401) 782-3803 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James Russell Carlsten Md NPPES

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

JAMES RUSSELL CARLSTEN MD (NPI 1376590794) is an individual anatomic pathology & clinical pathology provider in Wakefield, Rhode Island, licensed in Rhode Island (12097) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains a secondary practice location in Narragansett.

NPPES Registry Identity

NPI1376590794
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJAMES RUSSELL CARLSTENCredential: MD
Location Address70 KENYON AVEWakefield, RI 02879-4239
Mailing Address180 Shady Hill DrEast Greenwich, RI 02818-1404 · (401) 885-0767
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2001
Enumeration DateMay 30, 2006
Last NPPES UpdateOctober 29, 2019
NPI 1376590794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in RI · 12097
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
70 KENYON AVE, Wakefield, RI 02879

Secondary Practice Location 1

Location 1360 Kingstown Rd Ste 202Narragansett, RI 02882-3239 · Phone (401) 943-1300 · Fax (401) 228-7109

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

James Russell Carlsten 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 ID7517966898
PECOS Enrollment IDI20061214000259, I20100813000526, I20190729002544
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 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,497 services690 patients
Flow cytometry technique for dna or cell analysis, each additional marker 88185
Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
575 services24 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
353 services129 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
145 services127 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
102 services95 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
69 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02879 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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.

Internal Medicine
70 KENYON AVE, SUITE 326
WAKEFIELD, RI 02879
Podiatrist (Foot & Ankle Surgery)
70 KENYON AVE, STE 212
WAKEFIELD, RI 02879
Obstetrics & Gynecology
70 KENYON AVE, SUITE 103
WAKEFIELD, RI 02879
Internal Medicine (Cardiovascular Disease)
70 KENYON AVE, SUITE 321
WAKEFIELD, RI 02879
Midwife
70 KENYON AVE, SUITE 103
WAKEFIELD, RI 02879
Internal Medicine (Interventional Cardiology)
70 KENYON AVE
WAKEFIELD, RI 02879
Obstetrics & Gynecology (Gynecology)
70 KENYON AVE
WAKEFIELD, RI 02879
Physician Assistant
70 KENYON AVE, SUITE 215
WAKEFIELD, RI 02879

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 James Carlsten's NPI number?

The NPI number for James Carlsten is 1376590794. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is James Carlsten located?

James Carlsten practices at 70 Kenyon Ave, Wakefield, RI 02879. The listed phone number is (401) 782-3803.

What is James Carlsten's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is James Carlsten enrolled in Medicare?

Yes. James Carlsten 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.

Is James Carlsten affiliated with any hospitals?

According to CMS data, James Carlsten is affiliated with Southcoast Hospitals Group, Our Lady Of Fatima Hospital and South County Hospital Inc.

When was this NPI record last updated?

The NPPES record for James Carlsten was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.