Individual provider Active NPI

David Edmund Carlson, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Abilene, TX
National Provider Identifier
1194717652
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G9075 Issued in TX
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

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1232381-05MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000298 TX Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 5496732570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
Indiana University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians
Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians

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 Home health agency, Abilene, TX, CCN 457761
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
  • Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587
  • Coleman County Medical Center Company Hospital, Coleman, TX, CCN 451347
  • Stephens Memorial Hospital Hospital, Breckenridge, TX, CCN 671302
  • Rolling Plains Memorial Hospital Hospital, Sweetwater, TX, CCN 450055

Merit-based Incentive Payment System (MIPS)

Final score
85.59 of 100Reported as individual
Quality
72.1
Promoting interoperability
95
Improvement activities
40
Cost
78.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)27
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Medical Center Current Accepting new patients
Hendrick Provider Network CurrentSince Jun 30, 2014 Accepting new patients
Hendrick Provider Network CurrentSince Jun 30, 2014 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

  • Direct secure messaging: david.carlson.1@21794.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.