JEFFREY LYNN CARLSON DPM
NPI 1609027689
Podiatrist - Foot & Ankle Surgery in Sidney, OH

Q: What is Jeffrey Carlson's NPI number?

The NPI number for Jeffrey Carlson is 1609027689. It was assigned to this individual provider in the NPPES registry on October 8, 2008.

Q: What is Jeffrey Carlson's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Carlson was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 October 08, 2008PECOS Enrolled

1000 MICHIGAN ST, SIDNEY, OH 45365(937) 492-1211(937) 492-6557 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jeffrey Lynn Carlson Dpm NPPES

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

JEFFREY LYNN CARLSON DPM (NPI 1609027689) is an individual foot & ankle surgery provider in Sidney, Ohio, licensed in Ohio (36003576) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609027689

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameJEFFREY LYNN CARLSONCredential: DPM

Location Address1000 MICHIGAN STSidney, OH 45365-2404

Mailing Address1000 Michigan StSidney, OH 45365-2404 · (937) 492-1211 · Fax (937) 492-6557

Phone(937) 492-1211

Fax(937) 492-6557

Sole ProprietorNo

Enumeration DateOctober 8, 2008

Last NPPES UpdateJuly 26, 2011

✔ NPI 1609027689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in OH · 36003576✔ Licensed in UT · 7054576-0501

1000 MICHIGAN ST, Sidney, OH 45365

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Other Identifiers 4

Medicare PIN4316922OH

Medicare PIN4316921OH

Medicare PIN4316923OH

Medicaid3133424OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Lynn Carlson Dpm 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.

Medicare Billing Reassignment

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

Tooele Clinic Corp

1,477 mi

Family Medicine

1887 AARON DR STE B
Tooele, UT 84074

Reassigned Medicare billing, Utah enrollment
98 clinicians in this Medicare group

NPI 1073512364 (435) 775-9973

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

DR. HILLARIE SIZEMORE AMBURGEY DPM

Podiatrist (Foot & Ankle Surgery)