DR. ROBERT A CARLSON MD
NPI 1972690907
Pathology - Anatomic Pathology & Clinical Pathology in Scarborough, ME
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
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Robert Carlson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, ME 04102
- Reassigned Medicare billing, Maine and New Hampshire enrollments
- Medicare enrollment name: Spectrum Healthcare Partners PA
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEMid Coast Hospital
Acute Care Hospitals · Brunswick, MEPenobscot Bay Medical Center
Acute Care Hospitals · Rockport, MEWaldo County General Hospital
Critical Access Hospitals · Belfast, MEMemorial Hospital, The
Critical Access Hospitals · North Conway, NHPhysician 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.
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.
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.
Which organization bills Medicare for Robert Carlson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Carlson reassigns Medicare benefits to Spectrum Healthcare Partners, P.A. (Portland, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Carlson accept?
Health plans from Taro Health 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, Waldo County General Hospital 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 6 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.
# Dr. Robert A Carlson, MD · NPI 1972690907
Anatomic Pathology & Clinical Pathology physician in Scarborough, Maine. Individual provider, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1972690907 (Entity type: Individual)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** MD23532 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 301A US ROUTE 1, Scarborough, ME 04074-9701
- **Phone:** (156) 560-2560
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spectrum Healthcare Partners, P.A. (NPI 1386757607, Portland, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1983
## Record status
- **NPPES last updated:** August 5, 2020
- **Other identifiers:** Medicaid 30814900 (WI); Other 282992 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1972690907) · Data from the CMS NPPES public registry.