DR. ROBERT A CARLSON MD
NPI 1972690907
Pathology - Anatomic Pathology & Clinical Pathology in Scarborough, ME

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
301A US ROUTE 1, SCARBOROUGH, ME 04074(156) 560-2560 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2020, Aug 31, 2016 (2 updates tracked since 2016).

About Dr. Robert A Carlson Md NPPES

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

DR. ROBERT A CARLSON MD (NPI 1972690907) is an individual anatomic pathology & clinical pathology provider in Scarborough, Maine, licensed in Maine (MD23532) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1972690907
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ROBERT A CARLSONCredential: MD
Location Address301A US ROUTE 1Scarborough, ME 04074-9701
Mailing Address301 Us Route 1 Ste AScarborough, ME 04074-4401 · (715) 650-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
NPI 1972690907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in ME · MD23532
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Clinical PathologyTaxonomy 207ZC0006X · License 01104300 (MI)
301A US ROUTE 1, Scarborough, ME 04074

Other Identifiers 2

Medicaid30814900WI
Other282992NY · New York Medical License

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

Dr. Robert A 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 ID4789597675
PECOS Enrollment IDI20250102003025, I20250124002978
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 4

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200021
Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County
Emergency services Birthing friendly

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04074 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

Clinical Medical Laboratory
301A US ROUTE 1, FINANCE DEPT RE: HLA LAB
SCARBOROUGH, ME 04074
Clinical Medical Laboratory
301A US ROUTE 1
SCARBOROUGH, ME 04074
Clinical Medical Laboratory
301A US ROUTE 1
SCARBOROUGH, ME 04074

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 Robert Carlson's NPI number?

The NPI number for Robert Carlson is 1972690907. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Robert Carlson located?

Robert Carlson practices at 301A Us Route 1, Scarborough, ME 04074. The listed phone number is (156) 560-2560.

What is Robert Carlson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Robert Carlson enrolled in Medicare?

Yes. Robert 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 Robert Carlson accept?

Health plans from Medica list Robert 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 Robert Carlson affiliated with any hospitals?

According to CMS data, Robert Carlson is affiliated with Maine Medical Center, Mid Coast Hospital, Penobscot Bay Medical Center and Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Robert Carlson was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.