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CHRIS CHARLES CARLSON M.D.
NPI 1629062443
Surgery in Augusta, GA

Active since September 08, 2005PECOS EnrolledAccepts Medicare Assignment
1430 HARPER ST, BUILDING B, AUGUSTA, GA 30901(706) 724-5451(706) 724-9562 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chris Charles Carlson M.d. NPPES

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

CHRIS CHARLES CARLSON M.D. (NPI 1629062443) is an individual surgery provider in Augusta, Georgia, licensed in Georgia (045051) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and maintains a secondary practice location in Augusta.

NPPES Registry Identity

NPI1629062443
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHRIS CHARLES CARLSONCredential: M.D.
Location Address1430 HARPER ST, BUILDING BAugusta, GA 30901-0617
Mailing Address1430 Harper St, Building BAugusta, GA 30901-0617 · (706) 724-5451 · Fax (706) 724-9562
Phone(706) 724-5451
Fax(706) 724-9562
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1996
Enumeration DateSeptember 8, 2005
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1629062443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 045051
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1430 HARPER ST, Augusta, GA 30901
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Secondary Practice Location 1

Location 11350 Walton WayAugusta, GA 30901-2612 · Phone (706) 854-6008 · Fax (706) 774-7230

Other Identifiers 1

MedicaidG45051SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Chris Charles 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 ID8426241969
PECOS Enrollment IDI20101018000300
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 8

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.

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.
60 services60 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services32 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.
34 services34 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services25 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.
24 services24 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
22 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
72%142 patients4/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
54%287 patients3/55-star benchmark: 99%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
88%105 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%1,178 patients4/55-star benchmark: 100%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
80%41 patients3/55-star benchmark: 100%
Patient-Centered Surgical Risk Assessment and Communication
Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received…
100%52 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
60%559 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

OBSTETRICS AND GYNECOLOGY ASSOCIATES OF AUGUSTA, PC
Obstetrics & Gynecology
1430 HARPER ST, BUILDING A
AUGUSTA, GA 30901
Richmond County (706) 724-2261
DR. MICHEL M MCDONOUGH M.D.
Obstetrics & Gynecology
1430 HARPER ST, BLDG A
AUGUSTA, GA 30901
Richmond County (706) 724-2261
DR. CARLA MORGAN-GIBBS M.D.
Obstetrics & Gynecology
1430 HARPER ST, BLDG A
AUGUSTA, GA 30901
Richmond County (706) 724-2261
DR. EDWARD TERRELL WILLS D.O.
Surgery
1430 HARPER ST, STE B
AUGUSTA, GA 30901
Richmond County (706) 724-5451
DR. TANIA SERRANO M.D.
Obstetrics & Gynecology
1430 HARPER ST, BLDG A
AUGUSTA, GA 30901
Richmond County (706) 724-2261
MATTHEW M. MONDI, P.C.
Surgery
1430 HARPER ST, BUILDING B
AUGUSTA, GA 30901
Richmond County (706) 724-5451
DR. GLORIA D GARNER AU.D.
Audiologist
1430 HARPER ST, SUITE C3
AUGUSTA, GA 30901
Richmond County (706) 774-8666
RALPH BROOKS SCURRY JR. M.D.
Surgery
1430 HARPER ST, BUILDING B
AUGUSTA, GA 30901
Richmond County (706) 724-5451

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 Chris Carlson's NPI number?

The NPI number for Chris Carlson is 1629062443. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Chris Carlson located?

Chris Carlson practices at 1430 Harper St Building B, Augusta, GA 30901. The listed phone number is (706) 724-5451.

What is Chris Carlson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Chris Carlson enrolled in Medicare?

Yes. Chris 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 Chris Carlson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Chris 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 Chris Carlson affiliated with any hospitals?

According to CMS data, Chris Carlson is affiliated with Piedmont Augusta Hospital and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Chris Carlson was last updated on January 8, 2024. 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.