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MR. MICHAEL G CARLSON MD
NPI 1386639219
Internal Medicine - Endocrinology, Diabetes & Metabolism in Nashville, TN

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
330 23RD AVE N, SUITE 500, NASHVILLE, TN 37203(615) 342-5900(615) 342-7864 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael G Carlson Md NPPES

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

MR. MICHAEL G CARLSON MD (NPI 1386639219) is an individual endocrinology, diabetes & metabolism provider in Nashville, Tennessee, licensed in Tennessee (MD019713) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Northcrest Medical Center, and is a graduate of Vanderbilt University School Of Medicine (1985).

NPPES Registry Identity

NPI1386639219
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMR. MICHAEL G CARLSONCredential: MD
Location Address330 23RD AVE N, SUITE 500Nashville, TN 37203-1534
Mailing Address330 23rd Ave N, Suite 500Nashville, TN 37203-1534 · (615) 342-5900 · Fax (615) 342-7864
Phone(615) 342-5900
Fax(615) 342-7864
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1985
Enumeration DateSeptember 16, 2005
Last NPPES UpdateJune 11, 2015
✔ NPI 1386639219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TN · MD019713
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
330 23RD AVE N, Nashville, TN 37203
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified3060046TN
Medicaid3060045TN
Other110212235TN · Rr Medicare
Medicare UPINE34778TN
Medicaid64915648KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Mr. Michael G 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 ID3678755543
PECOS Enrollment IDI20110314000776
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 9

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,640 services51 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.
221 services153 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
184 services135 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
101 services55 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
85 services61 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
48 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Tristar Northcrest Medical Center

Acute Care Hospitals · Springfield, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440065
Location100 Northcrest DriveSpringfield, TN 37172 · Robertson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
37%1,158 patients2/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
87%985 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%3,858 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
80%3,871 patients2/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
40%698 patients2/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
64%36 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%1,434 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
40%2,130 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
37%700 patients2/55-star benchmark: 90%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,130 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
51%2,130 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 642 patients
1%642 patients4/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
35%2,130 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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers45 claims575 services$18.35 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers43 claims1,350 services$2.38 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers19 claims19 services$168.76 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers64 claims233 services$5.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers16 claims22 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier27 claims27 services$313.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TRISTAR GYNECOLOGY ONCOLOGY, LLC
Obstetrics & Gynecology (Gynecologic Oncology)
330 23RD AVE N, SUITE 600
NASHVILLE, TN 37203
Davidson County (615) 340-4640
ANNA KATHLEEN NEBEL NP
Nurse Practitioner
330 23RD AVE N, SUITE 300
NASHVILLE, TN 37203
Davidson County (615) 342-6010
SARAH WRAY APRN
Nurse Practitioner (Pediatrics)
330 23RD AVE N, SUITE 450
NASHVILLE, TN 37203
Davidson County (615) 342-7339
CLARENCE E FOSTER III MD
Transplant Surgery
330 23RD AVE N, SUITE 250
NASHVILLE, TN 37203
Davidson County (615) 342-5626
NASHVILLE PEDIATRIC UROLOGY, PC
Urology (Pediatric Urology)
330 23RD AVE N, SUITE 602
NASHVILLE, TN 37203
Davidson County (615) 342-7320
PUTHENPURACKAL MATHEW MD
Pediatrics (Pediatric Endocrinology)
330 23RD AVE N, SUITE 450
NASHVILLE, TN 37203
Davidson County (615) 342-7339
CATHERINE M THORNBURG M.D.
Obstetrics & Gynecology
330 23RD AVE N, SUITE 604
NASHVILLE, TN 37203
Davidson County (615) 986-6039
JESUS ERIC PINA-GARZA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
330 23RD AVE N, SUITE 450
NASHVILLE, TN 37203
Davidson County (615) 342-7339

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 Michael Carlson's NPI number?

The NPI number for Michael Carlson is 1386639219. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Michael Carlson located?

Michael Carlson practices at 330 23rd Ave N Suite 500, Nashville, TN 37203. The listed phone number is (615) 342-5900.

What is Michael Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Michael Carlson enrolled in Medicare?

Yes. Michael 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 Michael Carlson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Michael 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 Michael Carlson affiliated with any hospitals?

According to CMS data, Michael Carlson is affiliated with Tristar Northcrest Medical Center and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Carlson was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.