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DR. ROY DOUGLAS CARLSON M.D.
NPI 1932142858
Otolaryngology in Mount Laurel, NJ

Active since June 14, 2006PECOS Enrolled
96.25/100
CMS Quality Rating
204 ARK RD, SUITE 102, MOUNT LAUREL, NJ 08054(856) 602-4000(856) 946-1747 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 17, 2022, Sep 28, 2021 (2 updates tracked since 2021).

About Dr. Roy Douglas Carlson M.d. NPPES

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

DR. ROY DOUGLAS CARLSON M.D. (NPI 1932142858) is an individual otolaryngology provider in Mount Laurel, New Jersey, licensed in New Jersey (MA46109) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932142858
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ROY DOUGLAS CARLSONCredential: M.D.
Location Address204 ARK RD, SUITE 102Mount Laurel, NJ 08054-3100
Mailing AddressPo Box 95000-5585Philadelphia, PA 19195-5585 · (856) 667-1575 · Fax (856) 946-1747
Phone(856) 602-4000
Fax(856) 946-1747
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 17, 20222 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
✔ NPI 1932142858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NJ · MA46109
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
204 ARK RD, Mount Laurel, NJ 08054
Open in Google Maps ↗

Other Identifiers 1

Medicaid0371408NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roy Douglas Carlson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

96.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.18
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
94%88 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
93%91 patients4/55-star benchmark: 100%
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
61%23 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%3,644 patients4/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
100%37 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
19%1,063 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
30%1,063 patients2/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers15 claims15 services$30.10 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers12 claims12 services$45.77 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$13.76 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers18 claims108 services$1.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

REGIONAL EAR NOSE AND THROAT ASSOCIATES
Otolaryngology
204 ARK RD, SUITE 102
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-0559
GERALD D HAYKEN MD
Orthopaedic Surgery
204 ARK RD, SUITE 105
MOUNT LAUREL, NJ 08054
Burlington County (856) 235-7080
FRANK J TRUDO M.D.
Internal Medicine (Sleep Medicine)
204 ARK RD, STE 206 LMCI
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-4640
DR. ELIZABETH LISTIANI TAN M.D.
Radiology (Diagnostic Radiology)
204 ARK RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 866-8102
DOUGLAS J COHEN M.D.
Internal Medicine (Pulmonary Disease)
204 ARK RD, STE 206 LMC I
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-4640
GARY I SHAPIRO MD
Family Medicine
204 ARK RD, SUITE 103
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-4756
PATRICIA C POLLAN MSN, APRN, BC
Nurse Practitioner (Adult Health)
204 ARK RD, SUITE 103
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-4756
JOSEPH F TERMINI MD
Family Medicine
204 ARK RD, SUITE 103
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-4756

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 Roy Carlson's NPI number?

The NPI number for Roy Carlson is 1932142858. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Roy Carlson located?

Roy Carlson practices at 204 Ark Rd Suite 102, Mount Laurel, NJ 08054. The listed phone number is (856) 602-4000.

What is Roy Carlson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Roy Carlson enrolled in Medicare?

Yes. Roy Carlson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Roy Carlson was last updated on May 17, 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.