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TOBIN MOON CARSON D.O.
NPI 1619317427
Hospitalist in Farmington, ME

Active since June 26, 2013PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938(207) 779-2567 Get Directions Write a Review

NPPES record last updated: September 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2022, May 7, 2021, Aug 12, 2018 (3 updates tracked since 2018).

About Tobin Moon Carson D.o. NPPES

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

TOBIN MOON CARSON D.O. (NPI 1619317427) is an individual hospitalist provider in Farmington, Maine, licensed in Maine (DO3375) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of University Of New England, College Of Osteo Medicine (2013).

NPPES Registry Identity

NPI1619317427
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameTOBIN MOON CARSONCredential: D.O.
Location Address111 FRANKLIN HEALTH CMNSFarmington, ME 04938-6144
Mailing Address111 Franklin Health CmnsFarmington, ME 04938-6144 · (207) 779-2567 · Fax (207) 779-2505
Phone(207) 779-2567
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2013
Enumeration DateJune 26, 2013
Last NPPES UpdateSeptember 25, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2022
✔ NPI 1619317427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in ME · DO3375✔ Licensed in NY · 283464
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.
111 FRANKLIN HEALTH CMNS, Farmington, ME 04938
Open in Google Maps ↗

Secondary Practice Location 1

Location 11425 Portland AveRochester, NY 14621-3001 · Phone (585) 922-5067 · Fax (585) 922-2908

Other Identifiers 1

OtherDO3375ME · Maine State License (do)

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

Tobin Moon Carson D.o. 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 ID8022305440
PECOS Enrollment IDI20220510001457
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 Tobin Carson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mainehealth
Same address
General Acute Care Hospital
111 FRANKLIN HEALTH CMNS
Farmington, ME 04938
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1922791417 (Maine)
  • 3,140 clinicians in this Medicare group
NPI 1609356419 (207) 779-2356

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services26 patients
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.
26 services25 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.
21 services20 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.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04938 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

JESSE BUTLER MD
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6031
CHANEY WAHL RN
Registered Nurse
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 491-1014
JODI ALEXIS CONRAD D.O.
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6031
PAULA DESPRES MSOT, OTR/L
Occupational Therapist (Physical Rehabilitation)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6031
DR. LARRY B LABUL DO
Hospitalist
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6031
SAMANTHA ELLIS
Registered Nurse (Emergency)
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 779-2250
DR. AARON SAMUEL RATNER DO, MS
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6031
DR. VIVIAM SKARLETH TREJO MD
Emergency Medicine
111 FRANKLIN HEALTH CMNS
FARMINGTON, ME 04938
Franklin County (207) 778-6031

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 Tobin Carson's NPI number?

The NPI number for Tobin Carson is 1619317427. It was assigned to this individual provider in the NPPES registry on June 26, 2013.

Where is Tobin Carson located?

Tobin Carson practices at 111 Franklin Health Cmns, Farmington, ME 04938. The listed phone number is (207) 779-2567.

What is Tobin Carson's specialty?

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

Is Tobin Carson enrolled in Medicare?

Yes. Tobin Carson 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 Tobin Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tobin Carson reassigns Medicare benefits to Mainehealth (Farmington, ME). 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 Tobin Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tobin Carson was last updated on September 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.