NATHAN CARLTON MD
NPI 1659932895
Physical Medicine & Rehabilitation in Grand Rapids, MI

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503(616) 840-8000(616) 840-9642 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, May 24, 2023, Jul 15, 2019 and 1 more (4 updates tracked since 2019).

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

NPI1659932895
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameNATHAN CARLTONCredential: MD
Location Address235 WEALTHY ST SEGrand Rapids, MI 49503
Mailing Address235 Wealthy St SeGrand Rapids, MI 49503-5247 · (616) 840-8000 · Fax (616) 840-9642
Fax(616) 840-9642
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2019
Enumeration DateJune 27, 2019
Last NPPES UpdateMarch 6, 20244 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
NPI 1659932895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in MI · 4301509163
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4351045597 (MI)
235 WEALTHY ST SE, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 1100 Michigan St NE Ste A501Grand Rapids, MI 49503-2560 · Phone (616) 391-3245

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

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.

PECOS PAC ID143558056
PECOS Enrollment IDI20230622000744
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 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.

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.
536 services116 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.
63 services44 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
46 services46 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.
38 services36 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.
25 services19 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

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.

Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Speech-Language Pathologist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Dietitian, Registered
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Behavior Analyst
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Internal Medicine
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503
Physical Therapist
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503

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.

What insurance does Nathan Carlton accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health 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 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.