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DIRK T CARLSON MD
NPI 1508850140
Obstetrics & Gynecology in Boise, ID

Active since September 09, 2005PECOS Enrolled
100 E IDAHO ST, SUITE 302, BOISE, ID 83712(208) 343-7501(208) 336-8248 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dirk T Carlson Md NPPES

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

DIRK T CARLSON MD (NPI 1508850140) is an individual obstetrics & gynecology provider in Boise, Idaho, licensed in Idaho (M6506) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508850140
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDIRK T CARLSONCredential: MD
Location Address100 E IDAHO ST, SUITE 302Boise, ID 83712-6267
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 343-7501 · Fax (208) 336-8248
Phone(208) 343-7501
Fax(208) 336-8248
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateMarch 4, 2011
✔ NPI 1508850140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in ID · M6506
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

100 E IDAHO ST, Boise, ID 83712
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dirk T Carlson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

DR. NATHAN D MEEKER M.D.
Pediatrics (Pediatric Hematology-Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2782
MCKAY HERPEL PHARMD
Pharmacist (Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-3108
DR. FREDERICK K EMGE MD
Pediatrics (Pediatric Cardiology)
100 E IDAHO ST, SUITE 200
BOISE, ID 83712
Ada County (208) 381-7384
DAN S ZUCKERMAN MD
Internal Medicine (Hematology & Oncology)
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
MISTY NEISEN
Physician Assistant
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-2711
AMY MERCER RD
Dietitian, Registered
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 381-4011
DAVID B BETTIS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
100 E IDAHO ST, STE 201
BOISE, ID 83712
Ada County (208) 381-5180
VIVIANA BAEZA NUNEZ
Massage Therapist
100 E IDAHO ST
BOISE, ID 83712
Ada County (208) 706-5287

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 Dirk Carlson's NPI number?

The NPI number for Dirk Carlson is 1508850140. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Dirk Carlson located?

Dirk Carlson practices at 100 E Idaho St Suite 302, Boise, ID 83712. The listed phone number is (208) 343-7501.

What is Dirk Carlson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Dirk Carlson enrolled in Medicare?

Yes. Dirk Carlson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dirk Carlson was last updated on March 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.