DR. MARK JOEL CARLSON M.D.
NPI 1619904794
Family Medicine in Bemidji, MN
About Dr. Mark Joel Carlson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK JOEL CARLSON M.D. (NPI 1619904794) is an individual family medicine provider in Bemidji, Minnesota, licensed in Minnesota (46685) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of University Of Minnesota Medical School (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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. Mark Joel 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bemidji, MN 56601
- Reassigned Medicare billing, Minnesota enrollment
- 607 clinicians in this Medicare group
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 9
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Bemidji Medical Center
Acute Care Hospitals · Bemidji, MNLakewood Health Center
Critical Access Hospitals · Baudette, MNSanford Bagley Medical Center
Critical Access Hospitals · Bagley, MNSt Josephs Area Health Services
Critical Access Hospitals · Park Rapids, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BEMIDJI, MN 56601
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 Mark Carlson's NPI number?
The NPI number for Mark Carlson is 1619904794. It was assigned to this individual provider in the NPPES registry on June 26, 2006.
Where is Mark Carlson located?
Mark Carlson practices at 1300 Anne St NW Sanford Health Of Northern Minnesota, Bemidji, MN 56601. The listed phone number is (218) 751-9746.
What is Mark Carlson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Carlson enrolled in Medicare?
Yes. Mark 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 Mark Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Carlson reassigns Medicare benefits to Sanford Health Of Northern Minnesota (Bemidji, MN). 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 Mark Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Carlson accept?
Health plans from Sanford Health Plan and Security Health Plan list Mark 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 Mark Carlson affiliated with any hospitals?
According to CMS data, Mark Carlson is affiliated with Sanford Bemidji Medical Center, Lakewood Health Center, Sanford Bagley Medical Center and St Josephs Area Health Services.
When was this NPI record last updated?
The NPPES record for Mark Carlson was last updated on April 6, 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.
# Dr. Mark Joel Carlson, M.D. · NPI 1619904794
Family Medicine physician in Bemidji, Minnesota. Individual provider, active in the CMS NPPES registry since June 26, 2006.
## Identity
- **NPI:** 1619904794 (Entity type: Individual)
- **Enumerated:** June 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 46685 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 ANNE ST NW, SANFORD HEALTH OF NORTHERN MINNESOTA, Bemidji, MN 56601
- **Phone:** (218) 751-9746 · **Fax:** (218) 333-5228
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sanford Health Of Northern Minnesota (NPI 1376617522, Bemidji, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2003
## Record status
- **NPPES last updated:** April 6, 2022
- **Other identifiers:** Medicaid 9831341200 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1619904794) · Data from the CMS NPPES public registry.