ANDREW P CARLSON MD
NPI 1811036825
Neurological Surgery in Charlottesville, VA

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
415 RAY C HUNT DR STE 3100, CHARLOTTESVILLE, VA 22903(434) 924-2203(434) 244-4419 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2024, Jul 5, 2024, Jun 28, 2024 and 1 more (4 updates tracked since 2023).

About Andrew P Carlson Md NPPES

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

ANDREW P CARLSON MD (NPI 1811036825) is an individual neurological surgery provider in Charlottesville, Virginia, licensed in Virginia (0101281701) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1811036825
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameANDREW P CARLSONCredential: MD
Location Address415 RAY C HUNT DR STE 3100Charlottesville, VA 22903-2980
Mailing AddressPo Box 749112Atlanta, GA 30374-9112
Fax(434) 244-4419
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2005
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 10, 20244 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1811036825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in VA · 0101281701 Licensed in FL · ME113481 Licensed in NM · MD2011-0265
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
415 RAY C HUNT DR STE 3100, Charlottesville, VA 22903

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0001 · Phone (434) 982-1100

Other Identifiers 2

Other14MH4FL · Blue Cross Blue Shield
Medicaid006523200FL

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

Andrew P 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 ID446418941
PECOS Enrollment IDI20240710002234
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 4

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.

Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
16 services15 patients
Insertion of tube into brain artery for diagnosis or treatment with review by radiologist 36226
This procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.
13 services13 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.
12 services12 patients
Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance 61645
This procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81
Promoting Interoperability100
Improvement Activities40
Cost57.08

Other Providers at the Same Location NPPES 10

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

Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Family)
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Physical Medicine & Rehabilitation
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Neurological Surgery
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Acute Care)
415 RAY C HUNT DR STE 3100
CHARLOTTESVILLE, VA 22903

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 1811036825. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Andrew Carlson located?

Andrew Carlson practices at 415 Ray C Hunt Dr Ste 3100, Charlottesville, VA 22903. The listed phone number is (434) 924-2203.

What is Andrew Carlson's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Andrew Carlson enrolled in Medicare?

Yes. Andrew 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 Andrew Carlson accept?

Health plans from Blue Cross and Blue Shield of Texas 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.

Is Andrew Carlson affiliated with any hospitals?

According to CMS data, Andrew Carlson is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Carlson was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.