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MR. MATTHEW J CARLSON PA-C
NPI 1992028583
Physician Assistant - Surgical in Andover, MA

Active since March 10, 2010PECOS EnrolledAccepts Medicare Assignment
323 LOWELL ST, ANDOVER, MA 01810(978) 794-1946(978) 975-3925 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Matthew J Carlson Pa-c NPPES

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

MR. MATTHEW J CARLSON PA-C (NPI 1992028583) is an individual surgical provider in Andover, Massachusetts, licensed in Massachusetts (PA5055) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1992028583
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. MATTHEW J CARLSONCredential: PA-C
Location Address323 LOWELL STAndover, MA 01810-4659
Mailing Address575 Turnpike St, Suite 11North Andover, MA 01845-5924 · (978) 794-1946 · Fax (978) 975-3925
Phone(978) 794-1946
Fax(978) 975-3925
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 10, 2010
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1992028583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in MA · PA5055✔ Licensed in NH · 1037
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
323 LOWELL ST, Andover, MA 01810
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield 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

Mr. Matthew J Carlson Pa-c 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 ID2062713811
PECOS Enrollment IDI20151221000583, I20151221000700
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 12

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
810 services87 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.
206 services149 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
184 services152 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
171 services99 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
133 services91 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
124 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

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.

Reported Quality Measures

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.
99%192 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%383 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%77 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
58%173 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
15%129 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 46 patients
80%46 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
71%173 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%173 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
19%173 patients
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.

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.

COMMUNITY MEDICAL ASSOCIATES, INC.
Surgery
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 683-4000
LISA MARCHAND N.P.
Nurse Practitioner
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 783-5000
MADHAVI CHALLAGULLA MD
Internal Medicine
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 783-5000
ALEXSIS WALTER CNP
Nurse Practitioner (Women's Health)
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 475-2731
KELLY CZWORKA NP
Nurse Practitioner
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 783-5000
LAURA ENOS NP
Nurse Practitioner (Family)
323 LOWELL ST, ANDOVER MEDICAL CENTER & EXPRESSCARE
ANDOVER, MA 01810
Essex County (978) 783-5000
KELVEY RICHARDS
Physician Assistant
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 794-1946
DR. STEVEN JASON ANDRIOLA M.D.
Orthopaedic Surgery
323 LOWELL ST
ANDOVER, MA 01810
Essex County (978) 794-1946

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 Matthew Carlson's NPI number?

The NPI number for Matthew Carlson is 1992028583. It was assigned to this individual provider in the NPPES registry on March 10, 2010.

Where is Matthew Carlson located?

Matthew Carlson practices at 323 Lowell St, Andover, MA 01810. The listed phone number is (978) 794-1946.

What is Matthew Carlson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Matthew Carlson enrolled in Medicare?

Yes. Matthew 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 Matthew Carlson accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and WellSense Health Plan list Matthew 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 Matthew Carlson affiliated with any hospitals?

According to CMS data, Matthew Carlson is affiliated with Lawrence General Hospital and Holy Family Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Carlson was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.