DR. MATTHEW CARLSON MD
NPI 1609865682
Hospitalist in Gulfport, MS

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
4500 13TH ST, GULFPORT, MS 39501(228) 376-0577 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2019, Oct 23, 2019 (2 updates tracked since 2019).

About Dr. Matthew Carlson Md NPPES

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

DR. MATTHEW CARLSON MD (NPI 1609865682) is an individual hospitalist provider in Gulfport, Mississippi, licensed in Mississippi (20383) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Merit Health Biloxi, and maintains a secondary practice location in Gulfport.

NPPES Registry Identity

NPI1609865682
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MATTHEW CARLSONCredential: MD
Location Address4500 13TH STGulfport, MS 39501-2515
Mailing AddressPo Box 1810Gulfport, MS 39502 · (228) 575-1194 · Fax (228) 575-2917
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 20, 2005
Last NPPES UpdateSeptember 14, 20232 updates tracked since enumeration
NPI 1609865682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MS · 20383
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 20383 (MS)
4500 13TH ST, Gulfport, MS 39501

Secondary Practice Location 1

Location 11800 Beach DrGulfport, MS 39507-1553 · Phone (228) 897-4450 · Fax (228) 897-4481

Other Identifiers 1

Other20383MS · Mississippi State License

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. Matthew 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 ID8123206398
PECOS Enrollment IDI20110617000490
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 4

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
643 services583 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services38 patients
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.
17 services17 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Merit Health Biloxi

Acute Care Hospitals · Biloxi, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250007
Location150 Reynoir StreetBiloxi, MS 39530 · Harrison County
Emergency services Birthing friendly

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

Singing River Health System

Acute Care Hospitals · Pascagoula, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250040
Location2809 Denny AvenuePascagoula, MS 39581 · Jackson County
Emergency services Birthing friendly

Singing River Gulfport

Acute Care Hospitals · Gulfport, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250123
Location15200 Community RoadGulfport, MS 39503 · Harrison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier31 claims31 services$6.47 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier29 claims29 services$4.77 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier31 claims31 services$11.88 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier31 claims62 services$8.23 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier19 claims152 services$2.51 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier16 claims64 services$5.55 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.

Nurse Practitioner
4500 13TH ST
GULFPORT, MS 39501
Nurse Anesthetist, Certified Registered
4500 13TH ST
GULFPORT, MS 39501
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Physician Assistant (Surgical)
4500 13TH ST
GULFPORT, MS 39501
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Dietitian, Registered
4500 13TH ST
GULFPORT, MS 39501
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501

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 1609865682. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Matthew Carlson located?

Matthew Carlson practices at 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 376-0577.

What is Matthew Carlson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 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 Merit Health Biloxi, Memorial Hospital At Gulfport, Singing River Health System and Singing River Gulfport.

When was this NPI record last updated?

The NPPES record for Matthew Carlson was last updated on September 14, 2023. 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.