ROBERT TROY CARLSON M.D
NPI 1396856910
Family Medicine in Hastings, MI
About Robert Troy Carlson M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT TROY CARLSON M.D (NPI 1396856910) is an individual family medicine provider in Hastings, Michigan, licensed in Michigan (4301 066538) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Human Medicine (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Robert Troy 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health
Acute Care Hospitals · Grand Rapids, MICorewell Health Pennock Hospital
Critical Access Hospitals · Hastings, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Referred Medical Equipment & Supplies CMS DME claims 12
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Robert Carlson's NPI number?
The NPI number for Robert Carlson is 1396856910. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Robert Carlson located?
Robert Carlson practices at 1375 W Green St Suite 1, Hastings, MI 49058. The listed phone number is (269) 945-7497.
What is Robert Carlson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Robert Carlson enrolled in Medicare?
Yes. Robert 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 Robert Carlson accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Robert 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 Robert Carlson affiliated with any hospitals?
According to CMS data, Robert Carlson is affiliated with Spectrum Health and Corewell Health Pennock Hospital.
When was this NPI record last updated?
The NPPES record for Robert Carlson was last updated on January 7, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.
