DR. DOUGLAS JOHN CARLON MD
NPI 1396704680
Surgery - Vascular Surgery in Flagstaff, AZ

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
1895 N JASPER DR STE 1, FLAGSTAFF, AZ 86001(928) 773-2332(623) 524-8959 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Douglas John Carlon Md NPPES

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

DR. DOUGLAS JOHN CARLON MD (NPI 1396704680) is an individual vascular surgery provider in Flagstaff, Arizona, licensed in Arizona (29314) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1996).

NPPES Registry Identity

NPI1396704680
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. DOUGLAS JOHN CARLONCredential: MD
Location Address1895 N JASPER DR STE 1Flagstaff, AZ 86001-1632
Mailing Address2320 N 3rd StPhoenix, AZ 85004-1303 · (602) 649-2007
Fax(623) 524-8959
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1996
Enumeration DateMarch 23, 2006
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 16, 2023
NPI 1396704680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in AZ · 29314
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1895 N JASPER DR STE 1, Flagstaff, AZ 86001

Other Identifiers 1

Medicaid694704AZ

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. Douglas John Carlon 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 ID6305736687
PECOS Enrollment IDI20040318001662
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 2

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.

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.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

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.

Internal Medicine (Cardiovascular Disease)
1895 N JASPER DR STE 1
FLAGSTAFF, AZ 86001
Internal Medicine (Gastroenterology)
1895 N JASPER DR STE 1
FLAGSTAFF, AZ 86001
Nurse Practitioner
1895 N JASPER DR STE 1
FLAGSTAFF, AZ 86001

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 Douglas Carlon's NPI number?

The NPI number for Douglas Carlon is 1396704680. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Douglas Carlon located?

Douglas Carlon practices at 1895 N Jasper Dr Ste 1, Flagstaff, AZ 86001. The listed phone number is (928) 773-2332.

What is Douglas Carlon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Douglas Carlon enrolled in Medicare?

Yes. Douglas Carlon 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 Douglas Carlon accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Douglas Carlon 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.

When was this NPI record last updated?

The NPPES record for Douglas Carlon was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.