DR. JON BRANDON CARLSON M.D.
NPI 1508178799
Orthopaedic Surgery in Saint Louis, MO

Active since July 05, 2010PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
621 S NEW BALLAS RD STE 3005B, SAINT LOUIS, MO 63141(314) 251-7070 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jon Brandon Carlson M.d. NPPES

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

DR. JON BRANDON CARLSON M.D. (NPI 1508178799) is an individual orthopaedic surgery provider in Saint Louis, Missouri, licensed in Missouri (2024037003) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2010).

NPPES Registry Identity

NPI1508178799
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JON BRANDON CARLSONCredential: M.D.
Location Address621 S NEW BALLAS RD STE 3005BSaint Louis, MO 63141-8266
Mailing Address621 S New Ballas Rd Ste 3005bSaint Louis, MO 63141-8266 · (314) 251-7070
Sole ProprietorNo
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2010
Enumeration DateJuly 5, 2010
Last NPPES UpdateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
NPI 1508178799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MO · 2024037003
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 48167 (KY)
621 S NEW BALLAS RD STE 3005B, Saint Louis, MO 63141

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. Jon Brandon 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 ID1850686288
PECOS Enrollment IDI20241107000825
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 4

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 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.
26 services20 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.
23 services23 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.
18 services18 patients
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.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 14

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

Physician Assistant
621 S NEW BALLAS RD STE 3005B
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD STE 3005B
SAINT LOUIS, MO 63141
Orthopaedic Surgery (Hand Surgery)
621 S NEW BALLAS RD STE 3005B
SAINT LOUIS, MO 63141
Physician Assistant
621 S NEW BALLAS RD STE 3005B
SAINT LOUIS, MO 63141
Nurse Practitioner (Adult Health)
621 S NEW BALLAS RD STE 3005B
SAINT LOUIS, MO 63141
Physician Assistant (Surgical)
621 S NEW BALLAS RD STE 3005B
SAINT LOUIS, MO 63141
Orthopaedic Surgery (Orthopaedic Trauma)
621 S NEW BALLAS RD STE 3005B
SAINT LOUIS, MO 63141
Orthopaedic Surgery
621 S NEW BALLAS RD STE 3005B
SAINT LOUIS, MO 63141

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 Jon Carlson's NPI number?

The NPI number for Jon Carlson is 1508178799. It was assigned to this individual provider in the NPPES registry on July 5, 2010.

Where is Jon Carlson located?

Jon Carlson practices at 621 S New Ballas Rd Ste 3005B, Saint Louis, MO 63141. The listed phone number is (314) 251-7070.

What is Jon Carlson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jon Carlson enrolled in Medicare?

Yes. Jon 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 Jon Carlson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Jon 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 Jon Carlson affiliated with any hospitals?

According to CMS data, Jon Carlson is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Jon Carlson was last updated on October 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.