Individual provider Active NPI

Dean William Carlson, M.D.

  • Ophthalmology Physician
  • Colorado Springs, CO
National Provider Identifier
1053357715
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
34337 Issued in CO
Practice address
2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1120
Phone
(719) 471-2020
NPI assigned
Jun 21, 2006
Last updated
May 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 34337 CO Primary

Addresses

Primary practice location

2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1120

Mailing address

2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1120
Phone (719) 471-2020

Other identifiers 1

IdentifierTypeStateIssuer
01343375MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101000585 CO Practitioner - Ophthalmology 2062302680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Mayo Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2770 N Union Blvd
Suite 240
Colorado Springs, CO 80909-1193
Phone (719) 471-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.88 of 100Reported as group
Quality
99.09
Improvement activities
40
Cost
77.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34337COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Colorado Springs, PC Ophthalmology CurrentSince Apr 15, 1996 Accepting new patients
Eye Associates of Colorado Springs, PC Ophthalmology CurrentSince Apr 15, 1996 Accepting new patients

Locations

10035 Pearl Pass Vw
Ste 200
Colorado Springs, CO 80924
Phone (719) 265-5663

2770 N Union Blvd
Ste 240
Colorado Springs, CO 80909
Phone (719) 471-2020

Networks

  • CO HMO

Interoperability endpoints

  • Direct secure messaging: dean.carlsonmd.p2@direct.eyeassoc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1053357715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD",
            "address_2": "SUITE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091120",
            "telephone_number": "719-471-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 N UNION BLVD",
            "address_2": "SUITE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809091120",
            "telephone_number": "719-471-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "DEAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "34337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01343375",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.