NATHAN CARLTON MD
NPI 1659932895
Physical Medicine & Rehabilitation in Grand Rapids, MI
About Nathan Carlton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATHAN CARLTON MD (NPI 1659932895) is an individual physical medicine & rehabilitation provider in Grand Rapids, Michigan, licensed in Michigan (4301509163) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains a secondary practice location in Grand Rapids.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Nathan Carlton 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.
Medicare Billing Reassignment
Medicare enrollment records show Nathan Carlton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 209 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 7
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bronson Methodist Hospital
Acute Care Hospitals · Kalamazoo, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MIMercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIHolland Community Hospital
Acute Care Hospitals · Holland, MIUniversity Of Michigan Health - West
Acute Care Hospitals · Wyoming, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nathan Carlton's NPI number?
The NPI number for Nathan Carlton is 1659932895. It was assigned to this individual provider in the NPPES registry on June 27, 2019.
Where is Nathan Carlton located?
Nathan Carlton practices at 235 Wealthy St SE, Grand Rapids, MI 49503. The listed phone number is (616) 840-8000.
What is Nathan Carlton's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Nathan Carlton enrolled in Medicare?
Yes. Nathan Carlton 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 Nathan Carlton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Carlton reassigns Medicare benefits to Mary Free Bed Rehabilitation Hospital (Grand Rapids, MI). 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 Nathan Carlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nathan Carlton accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Nathan Carlton 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 Nathan Carlton affiliated with any hospitals?
According to CMS data, Nathan Carlton is affiliated with Bronson Methodist Hospital, Spectrum Health, Mercy Health Saint Mary's, Holland Community Hospital and University Of Michigan Health - West.
When was this NPI record last updated?
The NPPES record for Nathan Carlton was last updated on March 6, 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.