DR. KELLY CARLSON MD
NPI 1538424601
Internal Medicine - Cardiovascular Disease in Kokomo, IN

Active since July 05, 2012PECOS EnrolledAccepts Medicare Assignment
2030 W BOULEVARD, KOKOMO, IN 46902(765) 454-0200 Get Directions Write a Review

NPPES record last updated: December 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2022, Jul 7, 2022, Jul 16, 2020 and 2 more (5 updates tracked since 2015).

About Dr. Kelly Carlson Md NPPES

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

DR. KELLY CARLSON MD (NPI 1538424601) is an individual cardiovascular disease provider in Kokomo, Indiana, licensed in Indiana (01076541A) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1538424601
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KELLY CARLSONCredential: MD
Location Address2030 W BOULEVARDKokomo, IN 46902-6079
Mailing Address2030 W BoulevardKokomo, IN 46902-6079
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2012
Enumeration DateJuly 5, 2012
Last NPPES UpdateDecember 14, 20225 updates tracked since enumeration
NPPES CertifiedDecember 14, 2022
NPI 1538424601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in IN · 01076541A Licensed in IL · 036151894
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01076541A (IN)
Also ListedHospitalistTaxonomy 208M00000X · License 2014009027 (MO)
2030 W BOULEVARD, Kokomo, IN 46902

Secondary Practice Location 1

Location 17447 W Talcott Ave Ste 200Chicago, IL 60631-3713 · Phone (773) 774-5020

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. Kelly 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 ID3274762570
PECOS Enrollment IDI20161110000898
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 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.

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.
634 services422 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
138 services138 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.
113 services113 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
109 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
85 services49 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
37 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

St Vincent Heart Center

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number150153
Location10580 N Meridian StCarmel, IN 46290 · Hamilton County
Emergency services

Woodlawn Hospital

Critical Access Hospitals · Rochester, IN
OwnershipGovernment - Local
CMS Certification Number151313
Location1400 E 9th StRochester, IN 46975 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%152 patients5/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Cardiovascular Disease)
2030 W BOULEVARD
KOKOMO, IN 46902
Internal Medicine (Cardiovascular Disease)
2030 W BOULEVARD
KOKOMO, IN 46902
Internal Medicine (Cardiovascular Disease)
2030 W BOULEVARD
KOKOMO, IN 46902
Internal Medicine (Interventional Cardiology)
2030 W BOULEVARD
KOKOMO, IN 46902
Specialist
2030 W BOULEVARD
KOKOMO, IN 46902
Internal Medicine (Cardiovascular Disease)
2030 W BOULEVARD
KOKOMO, IN 46902

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 Kelly Carlson's NPI number?

The NPI number for Kelly Carlson is 1538424601. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Kelly Carlson located?

Kelly Carlson practices at 2030 W Boulevard, Kokomo, IN 46902. The listed phone number is (765) 454-0200.

What is Kelly Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kelly Carlson enrolled in Medicare?

Yes. Kelly 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 Kelly Carlson accept?

Health plans from CareSource list Kelly 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 Kelly Carlson affiliated with any hospitals?

According to CMS data, Kelly Carlson is affiliated with Community Howard Regional Health Inc., Ascension St Vincent Kokomo, Ascension St Vincent Hospital, St Vincent Heart Center and Woodlawn Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Carlson was last updated on December 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.