DR. RICHARD ANDREW CARLSON JR MD
NPI 1740246735
Internal Medicine in Tonawanda, NY

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
1491 SHERIDAN DR, SHERIDAN MEDICAL GROUP, TONAWANDA, NY 14217(716) 332-4476(716) 332-4479 Get Directions Write a Review

NPPES record last updated: January 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Andrew Carlson Jr Md NPPES

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

DR. RICHARD ANDREW CARLSON JR MD (NPI 1740246735) is an individual internal medicine provider in Tonawanda, New York, licensed in New York (183745) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Creighton University School Of Medicine (1978).

NPPES Registry Identity

NPI1740246735
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RICHARD ANDREW CARLSON JRCredential: MD
Location Address1491 SHERIDAN DR, SHERIDAN MEDICAL GROUPTonawanda, NY 14217-1234
Mailing Address1491 Sheridan DrTonawanda, NY 14217-1234 · (716) 332-4476 · Fax (716) 332-4479
Fax(716) 332-4479
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1978
Enumeration DateApril 26, 2006
Last NPPES UpdateJanuary 25, 2013
NPI 1740246735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 183745
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 183745 (NY)
1491 SHERIDAN DR, Tonawanda, NY 14217

Other Identifiers 3

Medicare UPINE36090NY
Medicare PINDD4207NY
Medicaid01226122NY

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. Richard Andrew Carlson Jr 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 ID3072425537
PECOS Enrollment IDI20110622000566
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 11

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
127 services127 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
117 services117 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
53 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
37 services36 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14217 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims38 services$3.64 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers17 claims96 services$14.75 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers15 claims15 services$35.10 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$7.85 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims90 services$1.74 avg. paid by Medicare
Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$38.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Urology (Pediatric Urology)
1491 SHERIDAN DR, SUITE 600
KENMORE, NY 14217
Physician Assistant
1491 SHERIDAN DR, SUITE 100
TONAWANDA, NY 14217
Durable Medical Equipment & Medical Supplies
1491 SHERIDAN DR, SUITE 500
TONAWANDA, NY 14217
Physician Assistant
1491 SHERIDAN DR
TONAWANDA, NY 14217
Physician Assistant
1491 SHERIDAN DR, SUITE 100
TONAWANDA, NY 14217
Internal Medicine
1491 SHERIDAN DR
TONAWANDA, NY 14217
Internal Medicine
1491 SHERIDAN DR
TONAWANDA, NY 14217
Nurse Practitioner (Psychiatric/Mental Health)
1491 SHERIDAN DR, SUITE 100
TONAWANDA, NY 14217

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 Richard Carlson Jr's NPI number?

The NPI number for Richard Carlson Jr is 1740246735. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Richard Carlson Jr located?

Richard Carlson Jr practices at 1491 Sheridan Dr Sheridan Medical Group, Tonawanda, NY 14217. The listed phone number is (716) 332-4476.

What is Richard Carlson Jr's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Richard Carlson Jr enrolled in Medicare?

Yes. Richard Carlson Jr 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.

Is Richard Carlson Jr affiliated with any hospitals?

According to CMS data, Richard Carlson Jr is affiliated with Kaleida Health, Sisters Of Charity Hospital and Kenmore Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Richard Carlson Jr was last updated on January 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.