DR. JAMES TERRANCE CARSON M.D. MPH
NPI 1780978775
Orthopaedic Surgery in Prince Frederick, MD

Q: What is James Carson's NPI number?

The NPI number for James Carson is 1780978775. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Q: What is James Carson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for James Carson was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment

130 HOSPITAL RD STE 102, PRINCE FREDERICK, MD 20678(410) 846-8800(410) 469-1724 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2026, Jan 26, 2022, Jun 12, 2018 and 1 more (4 updates tracked since 2016).

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About Dr. James Terrance Carson M.d. Mph NPPES

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

DR. JAMES TERRANCE CARSON M.D. MPH (NPI 1780978775) is an individual orthopaedic surgery provider in Prince Frederick, Maryland, licensed in Texas (R4019) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Calverthealth Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (2006).

NPPES Registry Identity

NPI1780978775

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. JAMES TERRANCE CARSONCredential: M.D. MPH

Location Address130 HOSPITAL RD STE 102Prince Frederick, MD 20678-4029

Mailing Address130 Hospital Rd Ste 102Prince Frederick, MD 20678-4029 · (410) 846-8800 · Fax (410) 469-1724

Phone(410) 846-8800

Fax(410) 469-1724

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2006

Enumeration DateJune 7, 2011

Last NPPES UpdateJanuary 19, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2026

✔ NPI 1780978775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in TX · R4019✔ Licensed in MD · D0096427

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

130 HOSPITAL RD STE 102, Prince Frederick, MD 20678

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Terrance Carson M.d. Mph 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 ID1951694017

PECOS Enrollment IDI20180109000340, I20260129004079, I20260202002421

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.

Medicare Billing Reassignments

Medicare enrollment records show James Carson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Calverthealth Medical Group, LLC

Same address

Orthopaedic Surgery

130 HOSPITAL RD STE 102
Prince Frederick, MD 20678

Reassigned Medicare billing, Maryland enrollment
57 clinicians in this Medicare group

NPI 1528880523 (410) 846-8800

Pikeville Medical Center Inc.

332 mi

Multi-Specialty

911 BYPASS RD BLDG A
Pikeville, KY 41501

Reassigned Medicare billing, Kentucky enrollment
579 clinicians in this Medicare group

NPI 1528195864 (606) 430-3500

Next Generation Orthopedic & Spine Institute, PLLC

1,221 mi

Specialist

200 VALLEY WOOD DR STE A300
The Woodlands, TX 77380

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1497164990 (832) 402-1400

Minivasive Pain Specialists,pllc

1,224 mi

Interventional Pain Medicine

3301 SPRING STUEBNER RD, SUITE 110
Spring, TX 77389

Reassigned Medicare billing, Texas enrollment
37 clinicians in this Medicare group

NPI 1477099851 (346) 800-6001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

120 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services36 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

25 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Calverthealth Medical Center

Acute Care Hospitals · Prince Frederick, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number210039

Location100 Hospital RoadPrince Frederick, MD 20678 · Calvert County

Emergency services Birthing friendly

Memorial Hermann Northeast Hospital

Acute Care Hospitals · Humble, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450684

Location18951 Memorial NorthHumble, TX 77338 · Harris County

Emergency services Birthing friendly

Townsen Memorial Hospital

Acute Care Hospitals · Humble, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number670266

Location1475 Fm 1960 Bypass EHumble, TX 77338 · Harris County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20678 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

FAHAD UR RAHMAN DPM

Podiatrist (Foot & Ankle Surgery)