Active NPI
Matthew Paul Carlson, D.O.
- Family Medicine Physician
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61357925
- Practice address
- 940 Northgate Dr
Richland, WA 99352-3505 - Phone
- (509) 942-2516
- Fax
- (509) 942-2527
- NPI assigned
- Jun 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO185531 | OR | |
| Family Medicine Physician | 207Q00000X | OP61357925 | WA | Primary |
Addresses
Primary practice location
940 Northgate Dr
Richland, WA 99352-3505
Mailing address
550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 942-3627
Other practice location 1
1050 W Elm Ave Ste 110
Hermiston, OR 97838-2713
Phone (541) 567-2995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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 |
|---|---|---|---|---|
| I20130827000427 | NV | Practitioner - Family Practice | 4082641048 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
550 Gage Blvd
Suite 101
Richland, WA 99352-9528
550 Gage Blvd
Suite 101
Richland, WA 99352-9532
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Healthcare Partners Medical Group Coats LTD | Family Medicine | Current | Accepting new patients |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Intermountain Medical Holdings Nevada Inc | Family Medicine | Past | Accepting new patients |
Locations
1050 W Elm Ave
Ste 110
Hermiston, OR 97838
Phone (541) 564-6411
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
550 Gage Blvd
Ste 101
Richland, WA 99352
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
940 Northgate Dr
Richland, WA 99352
Phone (509) 542-4571
Interoperability endpoints
- matthewcarlson@tu.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Plastic Surgery Physician
- Richland, WA
- NPI 1235471954
-
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- Family Medicine Physician
- Las Vegas, NV
- NPI 1487631917
Family Medicine
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1245997279
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1346561172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 GAGE BLVD STE 101",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529532",
"telephone_number": "509-942-3627",
"fax_number": "509-627-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 NORTHGATE DR",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993523505",
"telephone_number": "509-942-2516",
"fax_number": "509-942-2527"
}
],
"practiceLocations": [
{
"address_1": "1050 W Elm Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Hermiston",
"state": "OR",
"postal_code": "978382713",
"country_code": "US",
"telephone_number": "541-567-2995",
"fax_number": "541-567-7720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSON",
"first_name": "MATTHEW",
"middle_name": "PAUL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-16",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO185531",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61357925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.