DR. ERIK JAMES CARLSON M.D.
NPI 1992971808
Orthopaedic Surgery - Hand Surgery in Middlebury, CT

Q: What is Erik Carlson's NPI number?

The NPI number for Erik Carlson is 1992971808. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Q: What is Erik Carlson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Erik Carlson was last updated on February 5, 2018. 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.

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment

1579 STRAITS TPKE, ACTIVE ORTHOPAEDICS, MIDDLEBURY, CT 06762(203) 758-1272(203) 758-1070 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Erik James Carlson M.d. NPPES

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

DR. ERIK JAMES CARLSON M.D. (NPI 1992971808) is an individual hand surgery provider in Middlebury, Connecticut, licensed in Connecticut (53147) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2008).

NPPES Registry Identity

NPI1992971808

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDR. ERIK JAMES CARLSONCredential: M.D.

Location Address1579 STRAITS TPKE, ACTIVE ORTHOPAEDICSMiddlebury, CT 06762-1835

Mailing Address1579 Straits Tpke, Active OrthopaedicsMiddlebury, CT 06762-1835 · (203) 758-1272 · Fax (203) 758-1070

Phone(203) 758-1272

Fax(203) 758-1070

Sole ProprietorYes

Medical School CMSYale University School Of MedicineGraduated 2008

Enumeration DateMay 1, 2008

Last NPPES UpdateFebruary 5, 2018

✔ NPI 1992971808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in CT · 53147

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 53147 (CT)

1579 STRAITS TPKE, Middlebury, CT 06762

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Erik James 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 ID2567680705

PECOS Enrollment IDI20140829000334

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.

Medicare Billing Reassignments

Medicare enrollment records show Erik Carlson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Active Orthopaedics PC

Same address

Sports Medicine

1579 STRAITS TURNPIKE
Middlebury, CT 06762

Reassigned Medicare billing, Connecticut enrollment
3 clinicians in this Medicare group

NPI 1083797401 (203) 758-1272

Uconn Health Community Network Medical Group, Inc.

1.9 mi

Family Medicine

64 ROBBINS ST
Waterbury, CT 06708

Reassigned Medicare billing, Connecticut enrollment
152 clinicians in this Medicare group

NPI 1548119522 (203) 573-7280

Prospect Ct Medical Foundation, Inc.

33 mi

Family Medicine

71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040

Reassigned Medicare billing, Connecticut enrollment
422 clinicians in this Medicare group

NPI 1144677568 (860) 533-2981

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

1,441 services19 patients

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.

808 services81 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

468 services91 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

258 services30 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.

193 services154 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.

151 services112 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

84 services84 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

72 services64 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

65 services47 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

37 services24 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

28 services18 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

26 services26 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

19 services18 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

19 services12 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

16 services15 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06762 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier11 claims12 services$61.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SAGAR MOHAN PHATAK M. D.

Urology

1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 757-8361

ROBERT A FELDMAN M.D.

Urology

1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 757-8361

CAROLYN BROWN NP

Nurse Practitioner (Primary Care)

1579 STRAITS TPKE
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 758-2564

MS. DEANNA L WOLFF PA-C

Physician Assistant

1579 STRAITS TPKE
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 758-1272

MUNEERA PANJWANI APRN

Nurse Practitioner (Gerontology)

1579 STRAITS TPKE
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 598-7246

YORK P MOY M.D.

Urology

1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 757-8361

ROBERT S WETMORE MD PC

Orthopaedic Surgery

1579 STRAITS TPKE
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 758-1760

ORTHOPAEDICS NEW ENGLAND, PC

Orthopaedic Surgery

1579 STRAITS TPKE, SUITE E
MIDDLEBURY, CT 06762

Naugatuck Valley Planning Region (203) 598-0700

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 Erik Carlson's NPI number?

The NPI number for Erik Carlson is 1992971808. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Erik Carlson located?

Erik Carlson practices at 1579 Straits Tpke Active Orthopaedics, Middlebury, CT 06762. The listed phone number is (203) 758-1272.

What is Erik Carlson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Erik Carlson enrolled in Medicare?

Yes. Erik 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 organizations bill Medicare for Erik Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Carlson reassigns Medicare benefits to 3 organizations: Active Orthopaedics PC (Middlebury, CT), Uconn Health Community Network Medical Group, Inc. (Waterbury, CT) and Prospect Ct Medical Foundation, Inc. (Manchester, CT). Each 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 Erik Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erik Carlson accept?

Health plans from Anthem Blue Cross and Blue Shield list Erik 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.

When was this NPI record last updated?

The NPPES record for Erik Carlson was last updated on February 5, 2018. 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.