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DR. PAUL JEFFREY CARLSON MD
NPI 1962515643
Psychiatry & Neurology - Psychiatry in Gaithersburg, MD

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
11B FIRST FIELD RD, GAITHERSBURG, MD 20878(301) 990-6880(301) 990-0257 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Jeffrey Carlson Md NPPES

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

DR. PAUL JEFFREY CARLSON MD (NPI 1962515643) is an individual psychiatry provider in Gaithersburg, Maryland, licensed in Maryland (D0062133) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Baylor College Of Medicine (2000).

NPPES Registry Identity

NPI1962515643
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PAUL JEFFREY CARLSONCredential: MD
Location Address11B FIRST FIELD RDGaithersburg, MD 20878
Mailing Address6123 Montrose RdRockville, MD 20852 · (301) 881-3700 · Fax (301) 468-1862
Phone(301) 990-6880
Fax(301) 990-0257
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2000
Enumeration DateAugust 16, 2006
Last NPPES UpdateNovember 11, 2021
NPPES CertifiedNovember 11, 2021
✔ NPI 1962515643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MD · D0062133
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.
11B FIRST FIELD RD, Gaithersburg, MD 20878
Open in Google Maps ↗

Other Identifiers 6

Other64401001MD · Bcbs Of Md
Medicaid406643000MD
Other247377MD · Kaiser
Other784453000MD · Magellan
OtherA2840143DC · Bcbs Of Dc
Other7363711MD · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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. Paul Jeffrey Carlson Md 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 ID3577515683
PECOS Enrollment IDI20080917000024
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.

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20878 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

LYNDA R MYERS LCSW C
Social Worker
11B FIRST FIELD RD
GAITHERSBURG, MD 20878
Montgomery County (301) 990-6880
MS. ANNA MARIE GORDIN LCSW C
Social Worker
11B FIRST FIELD RD
GAITHERSBURG, MD 20878
Montgomery County (301) 990-6880
MR. MICHAEL MURRAY MCGREGOR LCSW LICSW LMFT
Marriage & Family Therapist
11B FIRST FIELD RD
GAITHERSBURG, MD 20878
Montgomery County (301) 990-6880

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 Paul Carlson's NPI number?

The NPI number for Paul Carlson is 1962515643. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Paul Carlson located?

Paul Carlson practices at 11B First Field Rd, Gaithersburg, MD 20878. The listed phone number is (301) 990-6880.

What is Paul Carlson's specialty?

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

Is Paul Carlson enrolled in Medicare?

Yes. Paul 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.

What insurance does Paul Carlson accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Paul 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.

Is Paul Carlson affiliated with any hospitals?

According to CMS data, Paul Carlson is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Paul Carlson was last updated on November 11, 2021. 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.