DR. WILLIAM E CARLSON M.D.
NPI 1558344630
Orthopaedic Surgery in Stuart, FL

Q: What is William Carlson's NPI number?

The NPI number for William Carlson is 1558344630. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is William Carlson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Carlson was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

1050 SE MONTEREY RD, SUITE 400, STUART, FL 34994(772) 288-2400 Get Directions Write a Review

NPPES record last updated: March 31, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2020, Apr 22, 2018 (2 updates tracked since 2018).

On this page

About Dr. William E Carlson M.d. NPPES

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

DR. WILLIAM E CARLSON M.D. (NPI 1558344630) is an individual orthopaedic surgery provider in Stuart, Florida, licensed in Florida (ME67339) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1558344630

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. WILLIAM E CARLSONCredential: M.D.

Location Address1050 SE MONTEREY RD, SUITE 400Stuart, FL 34994

Mailing Address1050 Se Monterey Rd, Suite 400Stuart, FL 34994 · (772) 288-2400

Phone(772) 288-2400

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateNovember 22, 2005

Last NPPES UpdateMarch 31, 20202 updates tracked since enumeration

NPPES CertifiedMarch 31, 2020

✔ NPI 1558344630 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 FL · ME67339

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 · Sports MedicineTaxonomy 207XX0005X · License ME67339 (FL)

1050 SE MONTEREY RD, Stuart, FL 34994

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Secondary Practice Locations 2

Location 19401 SW Discovery Way Ste 101Port St Lucie, FL 34987-2381 · Phone (772) 288-2400

Location 29401 SW Discovery Way Ste 201Port St Lucie, FL 34987-2381 · Phone (772) 288-2400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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. William E 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 ID6103808597

PECOS Enrollment IDI20051115000624

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.

Medicare Billing Reassignment

Medicare enrollment records show William Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Florida Orthopaedics & Sports Medicine, PA

Same address

Orthopaedic Surgery

1050 SE MONTEREY RD STE 400
Stuart, FL 34994

Reassigned Medicare billing, Florida enrollment
55 clinicians in this Medicare group

NPI 1841253374 (772) 288-2400

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 29

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.

740 services527 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

578 services372 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

381 services301 patients

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.

352 services275 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

258 services110 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

230 services177 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.

205 services205 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

86 services83 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

37 services37 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

36 services21 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

36 services23 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

33 services33 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

32 services21 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

30 services22 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

28 services28 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

28 services26 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

25 services25 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

25 services20 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

25 services11 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

23 services21 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

22 services20 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

21 services21 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

19 services17 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

17 services16 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

15 services15 patients

Injection into tendon at attachment to bone or muscle 20551

This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.

13 services13 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

12 services12 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100044

Location200 SE Hospital AveStuart, FL 34994 · Martin County

Emergency services Birthing friendly

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100253

Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.75

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$20.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TARA ANN COBB PA-C

Physician Assistant (Surgical)

1050 SE MONTEREY RD, SUITE 400
STUART, FL 34994

Martin County (772) 288-2400

LOUIS MARTIN LIMA O.D.

Optometrist

1050 SE MONTEREY RD, #104
STUART, FL 34994

Martin County (772) 282-2020

DR. ERIN SHAW M.D.

Family Medicine

1050 SE MONTEREY RD, 201
STUART, FL 34994

Martin County (772) 678-7043

DR. ANUJ PRASHER MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

1050 SE MONTEREY RD, SUITE 400
STUART, FL 34994

Martin County (772) 288-2400

FLORIDA VISION INSTITUTE INC

Ophthalmology

1050 SE MONTEREY RD, STE 104
STUART, FL 34994

Martin County (772) 283-2020

DR. REBECCA GRUNBAUM BOBO MD

Ophthalmology

1050 SE MONTEREY RD, SUITE 104
STUART, FL 34994

Martin County (772) 283-2020

BRAIN AND SPINE NEUROSUGERY,LLC

Clinic/Center (Ambulatory Surgical)

1050 SE MONTEREY RD, SUITE 102
STUART, FL 34994

Martin County (772) 220-9700

AMANDA KRISTEN GERSCH PA-C

Physician Assistant (Medical)

1050 SE MONTEREY RD, SUITE 101
STUART, FL 34994

Martin County (772) 419-0560

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 William Carlson's NPI number?

The NPI number for William Carlson is 1558344630. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is William Carlson located?

William Carlson practices at 1050 SE Monterey Rd Suite 400, Stuart, FL 34994. The listed phone number is (772) 288-2400.

What is William Carlson's specialty?

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

Is William Carlson enrolled in Medicare?

Yes. William 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 organization bills Medicare for William Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Carlson reassigns Medicare benefits to South Florida Orthopaedics & Sports Medicine, PA (Stuart, FL). The 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 William Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Carlson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list William 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 William Carlson affiliated with any hospitals?

According to CMS data, William Carlson is affiliated with Cleveland Clinic Martin North Hospital and Jupiter Medical Center.

When was this NPI record last updated?

The NPPES record for William Carlson was last updated on March 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.