KATHLEEN CARLSON M.D.
NPI 1962778050
Internal Medicine - Cardiovascular Disease in Saint Paul, MN

Active since March 22, 2012PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
225 SMITH AVE N STE 400, SAINT PAUL, MN 55102(651) 290-0133 Get Directions Write a Review

NPPES record last updated: December 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Carlson M.d. NPPES

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

KATHLEEN CARLSON M.D. (NPI 1962778050) is an individual cardiovascular disease provider in Saint Paul, Minnesota, licensed in Minnesota (62892) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Cambridge Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2012).

NPPES Registry Identity

NPI1962778050
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameKATHLEEN CARLSONCredential: M.D.
Location Address225 SMITH AVE N STE 400Saint Paul, MN 55102-2568
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2012
Enumeration DateMarch 22, 2012
Last NPPES UpdateDecember 6, 2017
NPI 1962778050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MN · 62892
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
225 SMITH AVE N STE 400, Saint Paul, MN 55102

Accepted 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

Kathleen 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 ID5294952289
PECOS Enrollment IDI20171109000694
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 20

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.

Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
132 services98 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services67 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
108 services108 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
96 services78 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.
74 services67 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Cambridge Medical Center

Acute Care Hospitals · Cambridge, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240020
Location701 South Dellwood AvenueCambridge, MN 55008 · Isanti County
Emergency services

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240076
Location303 Catlin StreetBuffalo, MN 55313 · Wright County
Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Internal Medicine
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Nurse Practitioner (Adult Health)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Nurse Practitioner
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Cardiovascular Disease)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Nurse Practitioner
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Cardiovascular Disease)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Interventional Cardiology)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102
Internal Medicine (Cardiovascular Disease)
225 SMITH AVE N STE 400
SAINT PAUL, MN 55102

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 Kathleen Carlson's NPI number?

The NPI number for Kathleen Carlson is 1962778050. It was assigned to this individual provider in the NPPES registry on March 22, 2012.

Where is Kathleen Carlson located?

Kathleen Carlson practices at 225 Smith Ave N Ste 400, Saint Paul, MN 55102. The listed phone number is (651) 290-0133.

What is Kathleen Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kathleen Carlson enrolled in Medicare?

Yes. Kathleen 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 Kathleen Carlson accept?

Health plans from HealthPartners and Medica list Kathleen 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 Kathleen Carlson affiliated with any hospitals?

According to CMS data, Kathleen Carlson is affiliated with Cambridge Medical Center, Abbott Northwestern Hospital, Buffalo Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Carlson was last updated on December 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.