Active NPI
David Edmund Carlson, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- G9075
- Practice address
- 1150 N 18TH St
Ste. 401
Abilene, TX 79601-2948 - Phone
- (325) 670-4560
- Fax
- (325) 670-4559
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | G9075 | TX | Primary |
Addresses
Primary practice location
1150 N 18TH St
Ste. 401
Abilene, TX 79601-2948
Mailing address
PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1232381-05 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091116000298 | TX | Practitioner - Cardiac Surgery | 5496732570 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Surgery
- Education
- Indiana University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hendrick Provider NetworkDora Roberts Rehabilitation Center
Practice addresses (Care Compare)
1150 N 18TH St
Abilene, TX 79601-2931
1900 Pine St
Abilene, TX 79601-2432
1904 Pine St
Abilene, TX 79601-2450
306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806
Hospital & facility affiliations
- Hendrick Home Health
- Hendrick Medical Center
- Hendrick Medical Center Brownwood
- Coleman County Medical Center Company
- Stephens Memorial Hospital
- Rolling Plains Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.59 of 100
- Quality
- 72.1
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.09
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 27 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendrick Medical Center | Current | Accepting new patients | |
| Hendrick Provider Network | Current | Accepting new patients | |
| Hendrick Provider Network | Current | Accepting new patients |
Locations
1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020
1900 Pine St
Ste 1630
Abilene, TX 79601
Phone (325) 670-3642
1150 N 18th St
Ste 401
Abilene, TX 79601
Phone (325) 670-4560
1680 Antilley Rd
Ste 260
Abilene, TX 79606
Phone (325) 691-5590
Interoperability endpoints
- david.carlson.1@21794.direct.athenahealth.com
- dcarlson@hmc.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Rural Health Clinic/Center
- San Saba, TX
- NPI 1346044401
-
- Rehabilitation Clinic/Center
- Big Spring, TX
- NPI 1760486708
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Abilene, TX
- NPI 1598761652
-
- Critical Access Hospital
- Coleman, TX
- NPI 1407121189
Hospital
-
- Critical Access Hospital
- Breckenridge, TX
- NPI 1285065623
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412208000000",
"number": "1194717652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1198",
"city": "ABILENE",
"state": "TX",
"postal_code": "796041198",
"telephone_number": "325-670-4372",
"fax_number": "325-670-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 N 18TH ST",
"address_2": "STE. 401",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012948",
"telephone_number": "325-670-4560",
"fax_number": "325-670-4559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "DAVID",
"middle_name": "EDMUND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2014-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "G9075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1232381-05",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.