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DR. MATTHEW JEROME CARLSON MD
NPI 1528268463
Obstetrics & Gynecology - Gynecologic Oncology in Mckinney, TX

Active since July 19, 2007PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
4201 MEDICAL CENTER DR STE 180, MCKINNEY, TX 75069(817) 759-7000(817) 759-7027 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2025, Jul 12, 2023, Mar 20, 2023 and 2 more (5 updates tracked since 2022).

About Dr. Matthew Jerome Carlson Md NPPES

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

DR. MATTHEW JEROME CARLSON MD (NPI 1528268463) is an individual gynecologic oncology provider in Mckinney, Texas, licensed in Texas (Q0740) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1528268463
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. MATTHEW JEROME CARLSONCredential: MD
Location Address4201 MEDICAL CENTER DR STE 180Mckinney, TX 75069-1778
Mailing Address800 W Magnolia AveFort Worth, TX 76104-4611 · (817) 759-7000 · Fax (817) 759-7027
Phone(817) 759-7000
Fax(817) 759-7027
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2007
Enumeration DateJuly 19, 2007
Last NPPES UpdateFebruary 6, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1528268463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Licenses✔ Licensed in TX · Q0740✔ Licensed in IA · 39669
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
4201 MEDICAL CENTER DR STE 180, Mckinney, TX 75069
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 W Magnolia AveFort Worth, TX 76104-4611 · Phone (817) 759-7000 · Fax (817) 759-7027

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Matthew Jerome Carlson 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 ID9537309620
PECOS Enrollment IDI20140916001791
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 6

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 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.
88 services33 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
49 services14 patients
Injection, diphenhydramine hcl, up to 50 mg J1200
Diphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.
41 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
16 services16 patients
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75069 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Other Providers at the Same Location NPPES 4

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

DR. SULTAN ALEEM CHOWDHARY MD
Internal Medicine (Hematology & Oncology)
4201 MEDICAL CENTER DR STE 180
MCKINNEY, TX 75069
Collin County (817) 759-0000
DR. FARHAN MOHAMMAD M.D.
Internal Medicine (Hematology & Oncology)
4201 MEDICAL CENTER DR STE 180
MCKINNEY, TX 75069
Collin County (347) 592-5112
MS. MERILYN JULIANA TUNSTALL-STROMAN APRN
Nurse Practitioner (Family)
4201 MEDICAL CENTER DR STE 180
MCKINNEY, TX 75069
Collin County (972) 548-9690
GEOFFREY D GIBSON DO
Internal Medicine (Hematology & Oncology)
4201 MEDICAL CENTER DR STE 180
MCKINNEY, TX 75069
Collin County (817) 759-7000

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 Matthew Carlson's NPI number?

The NPI number for Matthew Carlson is 1528268463. It was assigned to this individual provider in the NPPES registry on July 19, 2007.

Where is Matthew Carlson located?

Matthew Carlson practices at 4201 Medical Center Dr Ste 180, Mckinney, TX 75069. The listed phone number is (817) 759-7000.

What is Matthew Carlson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Matthew Carlson enrolled in Medicare?

Yes. Matthew 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 Matthew Carlson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Matthew 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 Matthew Carlson affiliated with any hospitals?

According to CMS data, Matthew Carlson is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., Medical Center Of Mckinney and Medical City Plano.

When was this NPI record last updated?

The NPPES record for Matthew Carlson was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.