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DR. WILLIAM R CARSON M.D.
NPI 1851445225
Orthopaedic Surgery - Sports Medicine in Summersville, WV

Active since January 23, 2007PECOS Enrolled
4089 WEBSTER RD, SUMMERSVILLE, WV 26651(304) 900-2589(800) 397-1586 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. William R Carson M.d. NPPES

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

DR. WILLIAM R CARSON M.D. (NPI 1851445225) is an individual sports medicine provider in Summersville, West Virginia, licensed in West Virginia (18114) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of New York Medical College (1990).

NPPES Registry Identity

NPI1851445225
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. WILLIAM R CARSONCredential: M.D.
Location Address4089 WEBSTER RDSummersville, WV 26651-7200
Mailing Address4089 Webster RdSummersville, WV 26651-7200 · (304) 900-2589 · Fax (800) 397-1586
Phone(304) 900-2589
Fax(800) 397-1586
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1990
Enumeration DateJanuary 23, 2007
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedJune 9, 2023
✔ NPI 1851445225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in WV · 18114
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
4089 WEBSTER RD, Summersville, WV 26651
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Other Identifiers 2

Medicaid0098219000WV
Other0786513WV · Medicare Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William R Carson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971990177
PECOS Enrollment IDI20220418001070
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

2

Medicare enrollment records show William Carson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mountain State Orthopedics And Sports Medicine
Same address
Sports Medicine
4089W WEBSTER RD
Summersville, WV 26651
  • Reassigned Medicare billing, West Virginia enrollment
NPI 1831841675 (304) 900-2589
Mountain State Urgent Care
Same address
Urgent Care
4089 WEBSTER RD
Summersville, WV 26651
  • Reassigned Medicare billing, West Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1992457741 (304) 900-2591

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 6

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
220 services36 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.
81 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services30 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.
41 services26 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.
22 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Other Providers at the Same Location NPPES

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

MOUNTAIN STATE URGENT CARE
Clinic/Center (Urgent Care)
4089 WEBSTER RD
SUMMERSVILLE, WV 26651
Nicholas County (304) 900-2591

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 William Carson's NPI number?

The NPI number for William Carson is 1851445225. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is William Carson located?

William Carson practices at 4089 Webster Rd, Summersville, WV 26651. The listed phone number is (304) 900-2589.

What is William Carson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is William Carson enrolled in Medicare?

Yes. William Carson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for William Carson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Carson reassigns Medicare benefits to 2 organizations: Mountain State Orthopedics And Sports Medicine (Summersville, WV) and Mountain State Urgent Care (Summersville, WV). Each 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 William Carson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Carson accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list William Carson 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 William Carson affiliated with any hospitals?

According to CMS data, William Carson is affiliated with Charleston Area Medical Center and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for William Carson was last updated on March 13, 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.