DR. CAROL SUE CARLSON MD
NPI 1669634408
Physical Medicine & Rehabilitation in Altoona, WI

Active since July 01, 2008PECOS EnrolledAccepts Medicare Assignment
56.86/100
CMS Quality Rating
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720(715) 832-1400(715) 832-4187 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2026, Dec 17, 2021 (2 updates tracked since 2021).

About Dr. Carol Sue Carlson Md NPPES

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

DR. CAROL SUE CARLSON MD (NPI 1669634408) is an individual physical medicine & rehabilitation provider in Altoona, Wisconsin, licensed in Wisconsin (54216-020) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and is a graduate of Albany Medical College Of Union University (2005).

NPPES Registry Identity

NPI1669634408
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameDR. CAROL SUE CARLSONCredential: MD
Location Address1200 OAKLEAF WAY STE AAltoona, WI 54720-2217
Mailing Address1200 Oakleaf Way Ste AAltoona, WI 54720-2217 · (715) 832-1400 · Fax (715) 832-4187
Fax(715) 832-4187
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2005
Enumeration DateJuly 1, 2008
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1669634408 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 WI · 54216-020
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 ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 54216-020 (WI)
1200 OAKLEAF WAY STE A, Altoona, WI 54720

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

Dr. Carol Sue Carlson 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 ID7911052873
PECOS Enrollment IDI20101202000314
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 26

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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
283 services211 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
177 services107 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
171 services145 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
166 services100 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636
This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.
155 services134 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
118 services97 patients

Hospital Affiliations CMS Care Compare 5

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Oakleaf Surgical Hospital

Acute Care Hospitals · Altoona, WI
OwnershipPhysician
CMS Certification Number520196
Location1000 Oakleaf WayAltoona, WI 54720 · Eau Claire County

Chippewa Valley Hospital

Critical Access Hospitals · Durand, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521307
Location1220 3rd Ave WDurand, WI 54736 · Pepin County
Emergency services

Aspirus Stanley Hospital

Critical Access Hospitals · Stanley, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521311
Location1120 Pine StStanley, WI 54768 · Chippewa County
Emergency services

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

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.

56.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.78
Improvement Activities40
Cost16.33

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.

Orthopaedic Surgery
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Physician Assistant
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Neurological Surgery
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Nurse Practitioner (Adult Health)
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Orthopaedic Surgery
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Physician Assistant
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Nurse Practitioner
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720
Podiatrist
1200 OAKLEAF WAY STE A
ALTOONA, WI 54720

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 Carol Carlson's NPI number?

The NPI number for Carol Carlson is 1669634408. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Carol Carlson located?

Carol Carlson practices at 1200 Oakleaf Way Ste A, Altoona, WI 54720. The listed phone number is (715) 832-1400.

What is Carol Carlson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Carol Carlson enrolled in Medicare?

Yes. Carol 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 Carol Carlson accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Carol 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 Carol Carlson affiliated with any hospitals?

According to CMS data, Carol Carlson is affiliated with Mayo Clinic Health System Eau Claire Hospital, Oakleaf Surgical Hospital, Chippewa Valley Hospital, Aspirus Stanley Hospital and Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for Carol Carlson was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.