DR. BRIAN J CARLSON M.D.
NPI 1740255462
Internal Medicine - Gastroenterology in North Las Vegas, NV

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
98.16/100
CMS Quality Rating
2031 MCDANIEL ST, SUITE 210, NORTH LAS VEGAS, NV 89030(702) 633-0207(209) 532-1817 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 3, 2017, May 8, 2017 (3 updates tracked since 2017).

About Dr. Brian J Carlson M.d. NPPES

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

DR. BRIAN J CARLSON M.D. (NPI 1740255462) is an individual gastroenterology provider in North Las Vegas, Nevada, licensed in California (00G732910) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1740255462
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. BRIAN J CARLSONCredential: M.D.
Location Address2031 MCDANIEL ST, SUITE 210North Las Vegas, NV 89030-6303
Mailing Address5440 W Sahara Ave Ste 302Las Vegas, NV 89146-0355 · (702) 633-0207 · Fax (209) 532-1817
Fax(209) 532-1817
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1988
Enumeration DateFebruary 17, 2006
Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration
NPI 1740255462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · 00G732910
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2031 MCDANIEL ST, North Las Vegas, NV 89030

Secondary Practice Location 1

Location 15440 W Sahara Ave Ste 302Las Vegas, NV 89146-0355 · Phone (702) 633-0207 · Fax (209) 532-1817

Other Identifiers 3

Medicaid1740255462NV
Medicaid00G732910CA
Other100013695CA · Railroad Medicare

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. Brian J Carlson M.d. 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 ID8729157169
PECOS Enrollment IDI20170124002381
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 16

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 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.
477 services296 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.
393 services351 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
130 services127 patients
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.
128 services80 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
66 services66 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
46 services46 patients

Hospital Affiliations CMS Care Compare 5

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

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290003
Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County
Emergency services

Mountainview Hospital

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290039
Location3100 N Tenaya WayLas Vegas, NV 89128 · Clark County
Emergency services Birthing friendly

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290041
Location657 Town Center DriveLas Vegas, NV 89144 · Clark County
Emergency services Birthing friendly

Spring Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290046
Location5400 South Rainbow BlvdLas Vegas, NV 89118 · Clark County
Emergency services Birthing friendly

Centennial Hills Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290054
Location6900 N Durango DrLas Vegas, NV 89149 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89030 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

98.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.51
Promoting Interoperability95
Improvement Activities40
Cost87.18

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Gastroenterology)
2031 MCDANIEL ST, SUITE #210
N LAS VEGAS, NV 89030
Family Medicine
2031 MCDANIEL ST, SUITE 105
N LAS VEGAS, NV 89030
General Practice
2031 MCDANIEL ST, SUITE 130
NORTH LAS VEGAS, NV 89030
Nurse Practitioner (Family)
2031 MCDANIEL ST, #210
NORTH LAS VEGAS, NV 89030
Specialist
2031 MCDANIEL ST, STE 230
NORTH LAS VEGAS, NV 89030
Internal Medicine (Gastroenterology)
2031 MCDANIEL ST, STE 210
NORTH LAS VEGAS, NV 89030
Specialist
2031 MCDANIEL ST, SUITE 230
NORTH LAS VEGAS, NV 89030
Dietitian, Registered
2031 MCDANIEL ST, STE 230
N LAS VEGAS, NV 89030

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 Brian Carlson's NPI number?

The NPI number for Brian Carlson is 1740255462. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Brian Carlson located?

Brian Carlson practices at 2031 Mcdaniel St Suite 210, North Las Vegas, NV 89030. The listed phone number is (702) 633-0207.

What is Brian Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brian Carlson enrolled in Medicare?

Yes. Brian 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 Brian Carlson accept?

Health plans from Ambetter from Arizona Complete Health list Brian 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 Brian Carlson affiliated with any hospitals?

According to CMS data, Brian Carlson is affiliated with Sunrise Hospital And Medical Center, Mountainview Hospital, Summerlin Hospital Medical Center, Spring Valley Hospital Medical Center and Centennial Hills Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Carlson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.