ADAM Q. CARLSON M.D.
NPI 1386878940
Internal Medicine - Rheumatology in Charlottesville, VA

Q: What is Adam Carlson's NPI number?

The NPI number for Adam Carlson is 1386878940. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Q: What is Adam Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Adam Carlson was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 12, 2009PECOS EnrolledAccepts Medicare Assignment

79.39/100

CMS Quality Rating

415 RAY C. HUNT DRIVE, STE 2100, CHARLOTTESVILLE, VA 22903(434) 243-0223(434) 244-7584 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2023, Oct 14, 2020 (2 updates tracked since 2020).

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About Adam Q. Carlson M.d. NPPES

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

ADAM Q. CARLSON M.D. (NPI 1386878940) is an individual rheumatology provider in Charlottesville, Virginia, licensed in Virginia (0101256476) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1386878940

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameADAM Q. CARLSONCredential: M.D.

Location Address415 RAY C. HUNT DRIVE, STE 2100Charlottesville, VA 22903-0001

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(434) 243-0223

Fax(434) 244-7584

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2007

Enumeration DateMay 12, 2009

Last NPPES UpdateAugust 9, 20232 updates tracked since enumeration

NPPES CertifiedAugust 9, 2023

✔ NPI 1386878940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

License✔ Licensed in VA · 0101256476

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

415 RAY C. HUNT DRIVE, Charlottesville, VA 22903

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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 924-0211

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

Adam Q. 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 ID4183756380

PECOS Enrollment IDI20140919000646

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 12

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.

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.

421 services256 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.

96 services80 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

59 services35 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

46 services19 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.

21 services18 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

19 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

18 services13 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

16 services11 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451

This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.

14 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number490009

Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County

Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490018

Location78 Medical Center DriveFishersville, VA 22939 · Augusta County

Emergency services Birthing friendly

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490019

Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County

Emergency services Birthing friendly

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490021

Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

79.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.66

Promoting Interoperability

100

Improvement Activities

Cost

57.65

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Other Providers at the Same Location NPPES 16

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

ANUJ SINGLA M.D

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903

Charlottesville City (434) 243-3633

ZHENQI LIU M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

415 RAY C. HUNT DRIVE, STE 2100
CHARLOTTESVILLE, VA 22903

Charlottesville City (434) 924-1825

MICHELE R HAMRICK ANP

Nurse Practitioner (Adult Health)

415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903

Charlottesville City (434) 924-1825

RALF M. NASS M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903

Charlottesville City (434) 924-1825

EUGENE J. BARRETT M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

415 RAY C. HUNT DRIVE, UVA ENDOCRINOLOGY
CHARLOTTESVILLE, VA 22903

Charlottesville City (434) 924-1825

JAMES J. DANIERO M.D.

Otolaryngology

415 RAY C. HUNT DRIVE, STE 2200
CHARLOTTESVILLE, VA 22903

Charlottesville City (434) 924-2153

ELIZABETH A RABIN M.S.

Audiologist

415 RAY C. HUNT DRIVE, UVA ENT CLINIC AT FONTAINE
CHARLOTTESVILLE, VA 22903

Charlottesville City (434) 924-2050

MARY L. VANCE M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

415 RAY C. HUNT DRIVE, STE 2100
CHARLOTTESVILLE, VA 22903

Charlottesville City (434) 982-3591

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 Adam Carlson's NPI number?

The NPI number for Adam Carlson is 1386878940. It was assigned to this individual provider in the NPPES registry on May 12, 2009.

Where is Adam Carlson located?

Adam Carlson practices at 415 Ray C. Hunt Drive Ste 2100, Charlottesville, VA 22903. The listed phone number is (434) 243-0223.

What is Adam Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Adam Carlson enrolled in Medicare?

Yes. Adam 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.

Is Adam Carlson affiliated with any hospitals?

According to CMS data, Adam Carlson is affiliated with University Of Virginia Medical Center, Augusta Health, Novant Health Uva Health System Culpeper Med Cente and Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Adam Carlson was last updated on August 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.