KELLEY CARLSON MD
NPI 1710113063
Emergency Medicine in Charlotte, NC

Q: What is Kelley Carlson's NPI number?

The NPI number for Kelley Carlson is 1710113063. It was assigned to this individual provider in the NPPES registry on June 1, 2009.

Q: What is Kelley Carlson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Carlson was last updated on October 5, 2021. 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.

Active since June 01, 2009PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2171 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 5, 2021, Mar 29, 2021, Feb 11, 2021 and 45 more (48 updates tracked since 2016).

On this page

About Kelley Carlson Md NPPES

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

KELLEY CARLSON MD (NPI 1710113063) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in North Carolina (2012-01202) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of University Of Michigan Medical School (2009).

NPPES Registry Identity

NPI1710113063

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameKELLEY CARLSONCredential: MD

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 355-2171

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2009

Enumeration DateJune 1, 2009

Last NPPES UpdateOctober 5, 202148 updates tracked since enumeration

NPPES CertifiedOctober 5, 2021

✔ NPI 1710113063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NC · 2012-01202

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 BLYTHE BLVD, Charlotte, NC 28203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Plan of North Carolina, Inc.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

Kelley 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 ID7911153135

PECOS Enrollment IDI20120803000264

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 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

38 services32 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

26 services26 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340145

Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County

Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340166

Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)