DR. SIMON PAUL CARLSON M.D.
NPI 1386617223
Radiology - Diagnostic Radiology in Austin, TX

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
2200 PARK BEND DR BLDG 2, AUSTIN, TX 78758(512) 351-8386 Get Directions Write a Review

NPPES record last updated: April 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Simon Paul Carlson M.d. NPPES

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

DR. SIMON PAUL CARLSON M.D. (NPI 1386617223) is an individual diagnostic radiology provider in Austin, Texas, licensed in Texas (M9196) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2000).

NPPES Registry Identity

NPI1386617223
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. SIMON PAUL CARLSONCredential: M.D.
Location Address2200 PARK BEND DR BLDG 2Austin, TX 78758-5387
Mailing Address2200 Park Bend Dr Bldg 2Austin, TX 78758-5387 · (512) 351-8386
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2000
Enumeration DateFebruary 10, 2006
Last NPPES UpdateApril 13, 2011
NPI 1386617223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in TX · M9196 Licensed in MD · D0063079
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2200 PARK BEND DR BLDG 2, Austin, TX 78758

Other Identifiers 15

OtherKA80MD · B/c B/s
Medicare UPINH75284MD
OtherJ062MD · B/c B/s
Medicare ID-Type UnspecifiedCN2566MD · Railroad Medicare
Medicare PINTXB104314TX
Medicare PINTXB105167TX
Medicare ID-Type Unspecified434LM657MD · Locality/juris. Code 01
Medicare ID-Type Unspecified018191A00MD · Locality/juris. Code 99
Other2849DC · B/c B/s
Medicare ID-Type UnspecifiedDD4343DE · Railroad Medicare
Medicaid197038606TX
Medicare ID-Type UnspecifiedCD4495MD · Railroad Medicare
Medicare ID-Type Unspecified435LM656MD · Locality/juris. Code 02
Medicaid409116700MD
Medicaid197038604TX

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

Dr. Simon Paul Carlson M.d. 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 ID6709803067
PECOS Enrollment IDI20081018000066, I20200417000992
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 50

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
872 services819 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
500 services485 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
196 services190 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
194 services190 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
182 services182 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
148 services146 patients

Hospital Affiliations CMS Care Compare 5

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
95%162 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%38 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Radiology (Diagnostic Ultrasound)
2200 PARK BEND DR BLDG 2, STE 301
AUSTIN, TX 78758
Nurse Practitioner (Family)
2200 PARK BEND DR BLDG 2
AUSTIN, TX 78758
Clinic/Center (Sleep Disorder Diagnostic)
2200 PARK BEND DR BLDG 2, SUITE 300
AUSTIN, TX 78758

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 Simon Carlson's NPI number?

The NPI number for Simon Carlson is 1386617223. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Simon Carlson located?

Simon Carlson practices at 2200 Park Bend Dr Bldg 2, Austin, TX 78758. The listed phone number is (512) 351-8386.

What is Simon Carlson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Simon Carlson enrolled in Medicare?

Yes. Simon 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 Simon Carlson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Simon 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 Simon Carlson affiliated with any hospitals?

According to CMS data, Simon Carlson is affiliated with Franciscan Health Michigan City, Franciscan Health Dyer, Franciscan Health Lafayette, Franciscan Health Crown Point and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Simon Carlson was last updated on April 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.