DR. TERI L CARLSON M.D.
NPI 1912910605
Psychiatry & Neurology - Psychiatry in Boulder, CO

Active since August 14, 2006Opted out of Medicare · through Jun 11, 2028
4440 ARAPAHOE AVE STE 220, BOULDER, CO 80303(303) 395-4727(720) 328-5596 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Teri L Carlson M.d. NPPES

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

DR. TERI L CARLSON M.D. (NPI 1912910605) is an individual psychiatry provider in Boulder, Colorado, licensed in Colorado (52302) and active in the NPI registry since August 2006. She has opted out of Medicare through June 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1912910605
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TERI L CARLSONCredential: M.D.
Location Address4440 ARAPAHOE AVE STE 220Boulder, CO 80303-9100
Mailing Address4440 Arapahoe Ave Ste 220Boulder, CO 80303-9100 · (303) 395-4727 · Fax (720) 328-5596
Fax(720) 328-5596
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
NPI 1912910605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in CO · 52302 Licensed in CA · A85442
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4440 ARAPAHOE AVE STE 220, Boulder, CO 80303

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. Teri L Carlson M.d. 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 June 11, 2018 through June 11, 2028.

Opt-Out Effective DateJune 11, 2018
Opt-Out In Effect ThroughJune 11, 2028Opt-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 80303 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
$174.82 typical visit price
range $58.06 – $174.82
Typical copayment $43.70 (range $14.51 – $43.70)
Most-billed visit code 99205
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 Teri Carlson's NPI number?

The NPI number for Teri Carlson is 1912910605. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Teri Carlson located?

Teri Carlson practices at 4440 Arapahoe Ave Ste 220, Boulder, CO 80303. The listed phone number is (303) 395-4727.

What is Teri Carlson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Teri Carlson enrolled in Medicare?

No. Teri Carlson has opted out of Medicare through June 11, 2028. 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.

When was this NPI record last updated?

The NPPES record for Teri Carlson was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.