DR. DUSTIN CARLSON M.D.
NPI 1902139173
Internal Medicine - Gastroenterology in Chicago, IL

Q: What is Dustin Carlson's NPI number?

The NPI number for Dustin Carlson is 1902139173. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Q: What is Dustin Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Carlson was last updated on June 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 04, 2009PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

675 N SAINT CLAIR ST, 17TH FLOOR, CHICAGO, IL 60611(312) 695-5620 Get Directions Write a Review

NPPES record last updated: June 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Dustin Carlson M.d. NPPES

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

DR. DUSTIN CARLSON M.D. (NPI 1902139173) is an individual gastroenterology provider in Chicago, Illinois, licensed in Illinois (036129287) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2009).

NPPES Registry Identity

NPI1902139173

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. DUSTIN CARLSONCredential: M.D.

Location Address675 N SAINT CLAIR ST, 17TH FLOORChicago, IL 60611-5975

Mailing Address676 N Saint Clair St, Suite 1400Chicago, IL 60611-2927 · (312) 926-4939

Phone(312) 695-5620

Sole ProprietorYes

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2009

Enumeration DateSeptember 4, 2009

Last NPPES UpdateJune 1, 2016

✔ NPI 1902139173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IL · 036129287

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036129287 (IL)

675 N SAINT CLAIR ST, Chicago, IL 60611

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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

Dr. Dustin Carlson 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 ID1759522303

PECOS Enrollment IDI20160617000050

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 14

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 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.

84 services79 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

65 services64 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

57 services56 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

47 services47 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.

44 services44 patients

Study of esophageal sensation by balloon distension 91040

This procedure involves inflating a small balloon in the esophagus, the tube connecting your mouth to your stomach. It helps doctors understand how your esophagus responds to pressure changes, aiding in the diagnosis of certain digestive disorders.

41 services41 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

35 services34 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

32 services25 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

29 services26 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.

25 services22 patients

Monitoring and recording of esophageal function through a capsule attached to the esophagus wall 91035

This procedure involves a small capsule being attached to your esophagus wall. It measures and records how your esophagus is functioning, helping to identify any potential issues. You won't feel the capsule and it will pass naturally through your system after a few days.

17 services17 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.

13 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

13 services13 patients

Prolonged monitoring and recording of esophageal function through nasal tube with electrode 91038

This procedure involves the insertion of a thin, flexible tube through the nose into the esophagus. An electrode on the tube records esophageal activity over an extended period, helping to identify any functional issues.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140062

Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County

Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140130

Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County

Emergency services Birthing friendly

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140211

Location300 Randall RdGeneva, IL 60134 · Kane County

Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

Leave this field empty

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.

TAYLOR MARIE HOGAN WINTERHALER AGACNP-BC

Nurse Practitioner (Acute Care)

675 N SAINT CLAIR ST
CHICAGO, IL 60611

Cook County (206) 883-7722

SHARON A ALLEN APRN

Nurse Practitioner (Adult Health)

675 N SAINT CLAIR ST, 21-100
CHICAGO, IL 60611

Cook County (312) 695-0316

HERON RODRIGUEZ MD

Surgery (Vascular Surgery)

675 N SAINT CLAIR ST, NORTHWESTERN MEMORIAL HOSPIALT GALTER 19-100
CHICAGO, IL 60611

Cook County (312) 695-2714

DR. DARREN MICHAEL BRENNER M.D.

Internal Medicine (Gastroenterology)

675 N SAINT CLAIR ST, SUITE 17-250
CHICAGO, IL 60611

Cook County (312) 695-5620

DR. ABDUL AZIZ AADAM M.D.

Internal Medicine (Gastroenterology)

675 N SAINT CLAIR ST, GASTROENTEROLOGY - SUITE 1400
CHICAGO, IL 60611

Cook County (312) 926-2000

JAN ELMAN STOUT PSYD

Psychologist (Clinical)

675 N SAINT CLAIR ST, SUITE 14-200
CHICAGO, IL 60611

Cook County (312) 695-7269

EMILY ELIZABETH HANDLEY OTD, OTR/L

Occupational Therapist

675 N SAINT CLAIR ST
CHICAGO, IL 60611

Cook County (815) 919-1791

SEEMA SINGHAL MD

Internal Medicine (Hematology)

675 N SAINT CLAIR ST, GALTER 21-100
CHICAGO, IL 60611

Cook County (312) 695-0990

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 Dustin Carlson's NPI number?

The NPI number for Dustin Carlson is 1902139173. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Where is Dustin Carlson located?

Dustin Carlson practices at 675 N Saint Clair St 17th Floor, Chicago, IL 60611. The listed phone number is (312) 695-5620.

What is Dustin Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Dustin Carlson enrolled in Medicare?

Yes. Dustin 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.

Is Dustin Carlson affiliated with any hospitals?

According to CMS data, Dustin Carlson is affiliated with Palos Community Hospital, Northwestern Lake Forest Hospital, Northwestern Medicine Delnor Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dustin Carlson was last updated on June 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.