CARL JEFFREY CARLSON M.D.
NPI 1386669489
Internal Medicine - Cardiovascular Disease in Fremont, CA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
11.34/100
CMS Quality Rating
2333 MOWRY AVE, SUITE 220, FREMONT, CA 94538(510) 792-2012(510) 792-7986 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Carl Jeffrey Carlson M.d. NPPES

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

CARL JEFFREY CARLSON M.D. (NPI 1386669489) is an individual cardiovascular disease provider in Fremont, California, licensed in California (G29295) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (1969).

NPPES Registry Identity

NPI1386669489
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameCARL JEFFREY CARLSONCredential: M.D.
Location Address2333 MOWRY AVE, SUITE 220Fremont, CA 94538-1700
Mailing Address2333 Mowry Ave, Suite 220Fremont, CA 94538-1700 · (510) 792-2012 · Fax (510) 792-7986
Fax(510) 792-7986
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1969
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 18, 2011
NPI 1386669489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · G29295
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License G29295 (CA)
2333 MOWRY AVE, Fremont, CA 94538

Other Identifiers 6

Other00G292950CA · Bluecross And Blueshield
Medicaid00G292950CA
Medicare PIN00G292950CA
Medicare UPINA44008CA
Other060006330CA · Railroad Medicare
OtherA44008CA · Commercial

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

Carl Jeffrey 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 ID1456403757
PECOS Enrollment IDI20090717000191
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
1,527 services130 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
930 services133 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
900 services133 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
685 services565 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
534 services253 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
244 services140 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

11.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost37.81

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers17 claims43 services$5.98 avg. paid by Medicare
Continent device; catheter for continent stoma A5082
DME-Orthotic Devices · category DF010N
1 supplier12 claims29 services$10.69 avg. paid by Medicare
Continent device, stoma absorptive cover for continent stoma A5083
DME-Orthotic Devices · category DF010N
1 supplier12 claims1,800 services$0.53 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$37.60 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 17

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

Internal Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Internal Medicine (Cardiovascular Disease)
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Internal Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Family Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Family Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Family Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538
Obstetrics & Gynecology (Gynecology)
2333 MOWRY AVE, SUITE 201
FREMONT, CA 94538
Internal Medicine
2333 MOWRY AVE, SUITE 300
FREMONT, CA 94538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386669489, enumerated as an "individual" on July 12, 2006.

The provider is located at 2333 MOWRY AVE SUITE 220 FREMONT, CA 94538 and the phone number is (510) 792-2012.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.