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

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: August 02, 2026.

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
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

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. 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.

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

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.

Urology
1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762
Urology
1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762
Nurse Practitioner (Primary Care)
1579 STRAITS TPKE
MIDDLEBURY, CT 06762
Physician Assistant
1579 STRAITS TPKE
MIDDLEBURY, CT 06762
Nurse Practitioner (Gerontology)
1579 STRAITS TPKE
MIDDLEBURY, CT 06762
Urology
1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762
Orthopaedic Surgery
1579 STRAITS TPKE
MIDDLEBURY, CT 06762
Orthopaedic Surgery
1579 STRAITS TPKE, SUITE E
MIDDLEBURY, CT 06762

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.

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.