Donald J Carlson, DPM
Individual provider Active NPI Podiatrist · Hermiston, OR
NPI 1114087632 · NPPES record last updated Jun 10, 2026
Key facts
- NPI
- 1114087632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- DP00233 (OR)
- Practice address
- 1122 W Elm Ave
Hermiston, OR 97838-6933 - Phone
- (541) 289-7075
- Fax
- (541) 314-4873
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- College of Podiatric Med and Surgery, Des Moines University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Shepherd Health Care System
Practice addresses (Care Compare)
1050 W Elm Ave
Suite 170
Hermiston, OR 97838-2715
Phone (541) 567-8750
600 NW 11TH St
Suite E37
Hermiston, OR 97838-8604
Phone (541) 667-3400
Hospital & facility affiliations
- Good Shepherd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 26 |
| Removal of skin lesions | 45 |
| Removal of nail tissue | 844 |
| Removal or shaving of skin growth | 336 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111027000568 | OR | Practitioner - Podiatry | 9537332093 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Shepherd Health Care System | Current |
Accepting new patients | |
| Hermiston Family Foot Clinic LLC | Current |
Accepting new patients | |
| Good Shepherd Health Care System | Current |
Accepting new patients | |
| Nancy Rudd-McCoy MD PC | Current | Accepting new patients |
Locations
600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305
610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400
1050 W Elm Ave
Ste 170
Hermiston, OR 97838
Phone (503) 567-8750
Interoperability endpoints
- dcarlson283296@direct.lhs.org
- donald.carlson@804876743802884.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DP00233 | OR | Yes |
Addresses
Primary practice location
1122 W Elm Ave
Hermiston, OR 97838-6933
Mailing address
1122 W Elm Ave
Hermiston, OR 97838-6933
Phone (541) 289-7075
Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.