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ANDREW CARLSON M.D.
NPI 1811006802
Pediatrics in Orange, CT

Active since August 30, 2006PECOS Enrolled
240 INDIAN RIVER RD, SUITE B-1, ORANGE, CT 06477(203) 795-4924(203) 799-1554 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrew Carlson M.d. NPPES

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

ANDREW CARLSON M.D. (NPI 1811006802) is an individual pediatrics provider in Orange, Connecticut, licensed in Connecticut (039862) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1811006802
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANDREW CARLSONCredential: M.D.
Location Address240 INDIAN RIVER RD, SUITE B-1Orange, CT 06477-3649
Mailing Address240 Indian River Rd, Suite B-1Orange, CT 06477-3649 · (203) 795-4924 · Fax (203) 799-1554
Phone(203) 795-4924
Fax(203) 799-1554
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 9, 2022
NPPES CertifiedSeptember 9, 2022
✔ NPI 1811006802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 039862
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
240 INDIAN RIVER RD, Orange, CT 06477
Open in Google Maps ↗

Secondary Practice Location 1

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 837-7250 · Fax (860) 837-6970

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Carlson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Andrew Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connecticut Children's Specialty Group, Inc.
38 mi
Pediatrics
282 WASHINGTON ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 601 clinicians in this Medicare group
NPI 1669448882 (860) 545-9000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06477 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

DR. ROCIO ALICEA O.D., LLC
Optometrist
240 INDIAN RIVER RD, C-3
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 553-9797
PEDIATRICS AND ADOLESCENT MEDICINE, P.C.
Pediatrics
240 INDIAN RIVER RD, SUITE B-1
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 795-4924
WEVERTON DEPAULA
Technician/Technologist (Optician)
240 INDIAN RIVER RD, C-3
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 553-9797
LDO, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
240 INDIAN RIVER RD, BUILDING D
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 891-8992
JILLIAN MARIE REID DNP, APRN
Nurse Practitioner (Adult Health)
240 INDIAN RIVER RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 497-3861
MEDICAL ONCOLOGY & HEMATOLOGY PC
Clinical Medical Laboratory
240 INDIAN RIVER RD, SUITE A1
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 795-1664
NORTHEAST HEARING LLC
Hearing Aid Equipment
240 INDIAN RIVER RD, BLDG A
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 795-4533
JUDITH A SHOMSKY
Hearing Instrument Specialist
240 INDIAN RIVER RD, BLDG A
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 795-4533

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 Andrew Carlson's NPI number?

The NPI number for Andrew Carlson is 1811006802. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Andrew Carlson located?

Andrew Carlson practices at 240 Indian River Rd Suite B-1, Orange, CT 06477. The listed phone number is (203) 795-4924.

What is Andrew Carlson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Andrew Carlson enrolled in Medicare?

Yes. Andrew Carlson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrew Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Carlson reassigns Medicare benefits to Connecticut Children's Specialty Group, Inc. (Hartford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Carlson accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrew 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.

When was this NPI record last updated?

The NPPES record for Andrew Carlson was last updated on September 9, 2022. 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.