Active NPI
Jared William Carlson, M.D.
- Surgery Physician
- Amherst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 270656
- Practice address
- 3925 Sheridan Dr
Amherst, NY 14226-1738 - Phone
- (716) 250-9999
- NPI assigned
- Jun 29, 2008
- Last updated
- Sep 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301092552 | MI | |
| Surgery Physician | 208600000X | 270656 | NY | Primary |
Addresses
Primary practice location
3925 Sheridan Dr
Amherst, NY 14226-1738
Mailing address
3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hand Surgery
- Education
- Wayne State University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10195 Niagara Falls Blvd
Suite 100
Niagara Falls, NY 14304-2941
Phone (716) 250-9999
260 Red Tail Rd
Orchard Park, NY 14127-1562
Phone (716) 250-9999
3925 Sheridan Dr
Amherst, NY 14226-1738
Phone (716) 250-9999
8750 Transit Rd
East Amherst, NY 14051-2610
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.79 of 100
- Quality
- 89.94
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 82.5
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092552 | MI | MD | Surgery Physician |
| 270656 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelsior Orthopaedics, LLP | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients | |
| Excelsior Orthopaedics LLP | Current | Accepting new patients | |
| Guam Memorial Hospital | Current | Accepting new patients |
Locations
850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552
3925 Sheridan Dr
Buffalo, NY 14226
Phone (716) 250-6500
8750 Transit Rd
Ste 105
East Amherst, NY 14051
Phone (716) 636-1470
10195 Niagara Falls Blvd
#100
Niagara Falls, NY 14304
260 Red Tail Rd
Orchard Park, NY 14127
Phone (716) 675-5711
Interoperability endpoints
- jcarlson@excelsiorortho.medentdirect.com
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.
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1831196757
-
- General Acute Care Hospital
- Oka Tamuning, GU
- NPI 1366519027
-
- Orthopaedic Surgery Physician
- Amherst, NY
- NPI 1003058462
-
- Skilled Nursing Facility
- Oka Tamuning, GU
- NPI 1952479131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1073775284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 SHERIDAN DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261738",
"telephone_number": "716-250-9999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 SHERIDAN DR",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261738",
"telephone_number": "716-250-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "JARED",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-29",
"last_updated": "2023-09-27",
"certification_date": "2022-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "4301092552",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "270656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.