DR. JEFFREY JERAL CARLSON MD
NPI 1538133095
Radiology - Diagnostic Radiology in Houston, TX
About Dr. Jeffrey Jeral Carlson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY JERAL CARLSON MD (NPI 1538133095) is an individual diagnostic radiology provider in Houston, Texas, licensed in Texas (M6557) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains a secondary practice location in Houston.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jeffrey Jeral 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jeffrey Carlson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 3,111 clinicians in this Medicare group
Houston, TX 77055
- Reassigned Medicare billing, Texas enrollment
- 169 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 19
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hermann - Texas Medical Center
Acute Care Hospitals · Houston, TXChi St Luke's Health Brazosport
Acute Care Hospitals · Lake Jackson, TXHarris Health System
Acute Care Hospitals · Houston, TXColumbus Community Hospital
Acute Care Hospitals · Columbus, TXHouston Methodist Baytown Hospital
Acute Care Hospitals · Baytown, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 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.
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.
HOUSTON, TX 77030
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 Jeffrey Carlson's NPI number?
The NPI number for Jeffrey Carlson is 1538133095. It was assigned to this individual provider in the NPPES registry on February 13, 2006.
Where is Jeffrey Carlson located?
Jeffrey Carlson practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 704-4294.
What is Jeffrey Carlson's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jeffrey Carlson enrolled in Medicare?
Yes. Jeffrey 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.
Which organizations bill Medicare for Jeffrey Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Carlson reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Memorial Mri And Diagnostic LLC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Carlson accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Jeffrey 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 Jeffrey Carlson affiliated with any hospitals?
According to CMS data, Jeffrey Carlson is affiliated with Memorial Hermann - Texas Medical Center, Chi St Luke's Health Brazosport, Harris Health System, Columbus Community Hospital and Houston Methodist Baytown Hospital.
When was this NPI record last updated?
The NPPES record for Jeffrey Carlson was last updated on October 29, 2024. 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.