TODD DUANE CARLSON MD
NPI 1821364928
Hospitalist in Denver, CO

Active since March 23, 2012PECOS EnrolledAccepts Medicare Assignment
83.81/100
CMS Quality Rating
1719 E 19TH AVE, IM HOSPITALIST, DENVER, CO 80218(720) 754-2296(844) 669-1725 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 15, 2021, Nov 12, 2020, Jul 8, 2020 and 5 more (8 updates tracked since 2016).

About Todd Duane Carlson Md NPPES

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

TODD DUANE CARLSON MD (NPI 1821364928) is an individual hospitalist provider in Denver, Colorado, licensed in Colorado (55181) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of University Of Colorado School Of Medicine, Denver (2011).

NPPES Registry Identity

NPI1821364928
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTODD DUANE CARLSONCredential: MD
Location Address1719 E 19TH AVE, IM HOSPITALISTDenver, CO 80218-1235
Mailing Address5600 S Quebec Street, Suite 312aGreenwood Village, CO 80111-2208 · (720) 754-2296 · Fax (844) 669-1725
Fax(844) 669-1725
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2011
Enumeration DateMarch 23, 2012
Last NPPES UpdateJune 15, 20218 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
NPI 1821364928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in CO · 55181 Licensed in CO · 555181
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0055181 (CO)
1719 E 19TH AVE, Denver, CO 80218

Other Names 1

Professional Name (2)Todd Duan Carlson M.d.

Secondary Practice Location 1

Location 13827 N Lafayette StDenver, CO 80205-3339 · Phone (303) 500-1518

Other Identifiers 1

Medicaid61486833CO

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

Todd Duane 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 ID7315266152
PECOS Enrollment IDI20150819007966
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 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.

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.
363 services113 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.
46 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services39 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
29 services29 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80218 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

83.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.26
Promoting Interoperability80
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
83%111 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$41.24 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 20

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

Psychiatry & Neurology (Psychiatry)
1719 E 19TH AVE
DENVER, CO 80218
Nurse Practitioner (Neonatal)
1719 E 19TH AVE
DENVER, CO 80218
Internal Medicine (Cardiovascular Disease)
1719 E 19TH AVE
DENVER, CO 80218
Pediatrics (Pediatric Critical Care Medicine)
1719 E 19TH AVE, RMCH - PEDIATRIC INTENSIVE CARE UNIT - 3RD FLOOR
DENVER, CO 80218
Specialist/Technologist, Pathology
1719 E 19TH AVE, PRESBYTERIAN ST LUKES HOSPITAL PATHOLOGY DEPT
DENVER, CO 80218
Pediatrics (Pediatric Critical Care Medicine)
1719 E 19TH AVE, ROCKY MOUNTAIN HOSPITAL FOR CHILRDEN PIC
DENVER, CO 80218
General Acute Care Hospital
1719 E 19TH AVE, 5C EAST
DENVER, CO 80218
Registered Nurse
1719 E 19TH AVE
DENVER, CO 80218

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 Todd Carlson's NPI number?

The NPI number for Todd Carlson is 1821364928. It was assigned to this individual provider in the NPPES registry on March 23, 2012. The provider is also known as Todd Duan Carlson M.D..

Where is Todd Carlson located?

Todd Carlson practices at 1719 E 19th Ave Im Hospitalist, Denver, CO 80218. The listed phone number is (720) 754-2296.

What is Todd Carlson's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Todd Carlson enrolled in Medicare?

Yes. Todd 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.

When was this NPI record last updated?

The NPPES record for Todd Carlson was last updated on June 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.