DR. PETER LOREN CARLSON D.D.S
NPI 1881822104
Dentist - Oral and Maxillofacial Surgery in Oklahoma City, OK

Active since June 25, 2009Opted out of Medicare · through Sep 18, 2027
1201 N STONEWALL AVE, SUITE 206, OKLAHOMA CITY, OK 73117(405) 271-4441(405) 271-1134 Get Directions Write a Review

NPPES record last updated: June 25, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Peter Loren Carlson D.d.s NPPES

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

DR. PETER LOREN CARLSON D.D.S (NPI 1881822104) is an individual oral and maxillofacial surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (343) and active in the NPI registry since June 2009. He has opted out of Medicare through September 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1881822104
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. PETER LOREN CARLSONCredential: D.D.S
Location Address1201 N STONEWALL AVE, SUITE 206Oklahoma City, OK 73117-1214
Mailing Address17032 Woodvine DrEdmond, OK 73012-7911 · (405) 509-0361
Fax(405) 271-1134
Sole ProprietorNo
Enumeration DateJune 25, 2009
NPI 1881822104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in OK · 343
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1201 N STONEWALL AVE, Oklahoma City, OK 73117

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Peter Loren Carlson D.d.s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 18, 2013 through September 18, 2027.

Opt-Out Effective DateSeptember 18, 2013
Opt-Out In Effect ThroughSeptember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73117 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 20

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

Dentist (Orthodontics and Dentofacial Orthopedics)
1201 N STONEWALL AVE, ROOM 494
OKLAHOMA CITY, OK 73117
Student in an Organized Health Care Education/Training Program
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist (General Practice)
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist (General Practice)
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist (Orthodontics and Dentofacial Orthopedics)
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117
Dentist (Periodontics)
1201 N STONEWALL AVE, ROOM 494
OKLAHOMA CITY, OK 73117
Dentist
1201 N STONEWALL AVE
OKLAHOMA CITY, OK 73117

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 Peter Carlson's NPI number?

The NPI number for Peter Carlson is 1881822104. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Peter Carlson located?

Peter Carlson practices at 1201 N Stonewall Ave Suite 206, Oklahoma City, OK 73117. The listed phone number is (405) 271-4441.

What is Peter Carlson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Peter Carlson enrolled in Medicare?

No. Peter Carlson has opted out of Medicare through September 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Peter Carlson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 14 other insurers list Peter 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 Peter Carlson was last updated on June 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.