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RICHARD HARLAN CARLSON JR.
NPI 1396035994
Psychiatry & Neurology - Psychiatry in Spokane, WA

Active since April 15, 2011PECOS EnrolledAccepts Medicare Assignment
104 W 5TH AVE, STE. 330W, SPOKANE, WA 99204(509) 624-2313 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Richard Harlan Carlson Jr. NPPES

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

RICHARD HARLAN CARLSON JR. (NPI 1396035994) is an individual psychiatry provider in Spokane, Washington, licensed in Washington (MD60641325) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of Creighton University School Of Medicine (2011).

NPPES Registry Identity

NPI1396035994
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRICHARD HARLAN CARLSON JR.
Location Address104 W 5TH AVE, STE. 330WSpokane, WA 99204-4880
Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (509) 624-2313
Phone(509) 624-2313
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2011
Enumeration DateApril 15, 2011
Last NPPES UpdateJuly 18, 2016
✔ NPI 1396035994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · MD60641325
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
104 W 5TH AVE, Spokane, WA 99204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Richard Harlan Carlson Jr. 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 ID9537462049
PECOS Enrollment IDI20160509001431
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 5

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.

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.
118 services39 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services25 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

THOMAS ANDREW SATTERFIELD MD
Anesthesiology
104 W 5TH AVE, SUITE 230E
SPOKANE, WA 99204
Spokane County (509) 838-8561
PHYSICIAN ANESTHESIA GROUP PS
Anesthesiology
104 W 5TH AVE, SUITE 230E
SPOKANE, WA 99204
Spokane County (509) 838-8561
WILLIAM PHILIP WERSCHLER MD
Dermatology
104 W 5TH AVE, 330W
SPOKANE, WA 99204
Spokane County (509) 624-1184
ALAA ELKHARWILY M.D.
Student in an Organized Health Care Education/Training Program
104 W 5TH AVE, SUITE 200W
SPOKANE, WA 99204
Spokane County (509) 744-3750
KRISTA HILLARY BACA CRNA
Nurse Anesthetist, Certified Registered
104 W 5TH AVE, SUITE 250E
SPOKANE, WA 99204
Spokane County (509) 838-1547
KRISTOPHER T. STANTON MD
Emergency Medicine
104 W 5TH AVE, SUITE 200W
SPOKANE, WA 99204
Spokane County (509) 624-2313
DR. PHILIP DOUGLAS OGDEN
Anesthesiology
104 W 5TH AVE, SUITE 250E
SPOKANE, WA 99204
Spokane County (509) 838-8561
GEORGE NOVAN M.D.
Internal Medicine
104 W 5TH AVE, SUITE 200W
SPOKANE, WA 99204
Spokane County (509) 744-3750

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 Richard Carlson's NPI number?

The NPI number for Richard Carlson is 1396035994. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Where is Richard Carlson located?

Richard Carlson practices at 104 W 5th Ave Ste. 330W, Spokane, WA 99204. The listed phone number is (509) 624-2313.

What is Richard Carlson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Richard Carlson enrolled in Medicare?

Yes. Richard 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 Richard Carlson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Richard 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 Richard Carlson affiliated with any hospitals?

According to CMS data, Richard Carlson is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp..

When was this NPI record last updated?

The NPPES record for Richard Carlson was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.