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NEIL THOMAS CARSTENS M.D.
NPI 1891789327
Orthopaedic Surgery in Galax, VA

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
544 E STUART DR STE C, GALAX, VA 24333(877) 544-3770 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 23, 2023, Dec 16, 2022, Oct 7, 2020 (3 updates tracked since 2020).

About Neil Thomas Carstens M.d. NPPES

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

NEIL THOMAS CARSTENS M.D. (NPI 1891789327) is an individual orthopaedic surgery provider in Galax, Virginia, licensed in Virginia (0101276691) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of University Of Mississippi School Of Medicine (1985).

NPPES Registry Identity

NPI1891789327
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameNEIL THOMAS CARSTENSCredential: M.D.
Location Address544 E STUART DR STE CGalax, VA 24333-2231
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713
Phone(877) 544-3770
Sole ProprietorNo
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1985
Enumeration DateSeptember 12, 2005
Last NPPES UpdateAugust 29, 20253 updates tracked since enumeration
NPPES CertifiedAugust 29, 2025
✔ NPI 1891789327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in VA · 0101276691✔ Licensed in GA · 036935✔ Licensed in TX · H3660
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
544 E STUART DR STE C, Galax, VA 24333
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Other Identifiers 2

Other511G700152Medicare Ptan
Medicaid00 540174BGA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Neil Thomas Carstens M.d. 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 ID9436231438
PECOS Enrollment IDI20221230002204
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

4

Medicare enrollment records show Neil Carstens reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Giles Community Hospital
1.3 mi
Rural Health
544 E STUART DR STE D
Galax, VA 24333
  • Reassigned Medicare billing, Virginia enrollment
  • 608 clinicians in this Medicare group
NPI 1235756354 (276) 236-6136
Carilion Rockbridge Community Hospital
44 mi
Rural Health
3 WESTWOOD MEDICAL PARK
Bluefield, VA 24605
  • Reassigned Medicare billing, Virginia enrollment
  • 507 clinicians in this Medicare group
NPI 1831589480 (276) 988-8850
Carilion Medical Center
68 mi
Dental
2017 JEFFERSON ST SW
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1114399276 (540) 981-7128
Carilion Healthcare Corporation
69 mi
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
NPI 1447206370 (540) 224-5452

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 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.

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.
70 services53 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.
45 services45 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.
20 services14 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.
18 services18 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.
17 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490042
Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County
Emergency services Birthing friendly

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490115
Location200 Hospital DriveGalax, VA 24333 · Galax City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24333 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

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 Neil Carstens's NPI number?

The NPI number for Neil Carstens is 1891789327. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Neil Carstens located?

Neil Carstens practices at 544 E Stuart Dr Ste C, Galax, VA 24333. The listed phone number is (877) 544-3770.

What is Neil Carstens's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Neil Carstens enrolled in Medicare?

Yes. Neil Carstens 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.

Which organizations bill Medicare for Neil Carstens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neil Carstens reassigns Medicare benefits to 4 organizations: Carilion Giles Community Hospital (Galax, VA), Carilion Rockbridge Community Hospital (Bluefield, VA), Carilion Medical Center (Roanoke, VA) and Carilion Healthcare Corporation (Roanoke, VA). 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 Neil Carstens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neil Carstens accept?

Health plans from Blue Cross and Blue Shield of Texas list Neil Carstens 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 Neil Carstens affiliated with any hospitals?

According to CMS data, Neil Carstens is affiliated with Carilion Medical Center, Carilion New River Valley Medical Center and Twin County Regional Hospital.

When was this NPI record last updated?

The NPPES record for Neil Carstens was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.