Douglas Eugene Carlson, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

E4230 Issued in AR

Practice address

4504 Ridge Rd
Alma, AR 72921-7488

Phone

(479) 430-0626

NPI assigned

Apr 3, 2006

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR, OK2 enrollments

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 2

Specialty

Emergency MedicineAlso: General Practice

Education

Oklahoma State University College of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newgen of Arkansas LLCGroup PAC ID 3779076591, 13 clinicians

East Arkansas Emergency Physicians PLLCGroup PAC ID 5698909067, 27 clinicians

Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002
• Mercy Hospital Ada Hospital, Ada, OK, CCN 370020

Merit-based Incentive Payment System (MIPS)

Final score

98.15 of 100Reported as apm

Quality

88.15

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.6 of 100Reported as group

Quality

82.11

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• East Arkansas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Blytheville, AR
  • NPI 1932442985
  Medicare reassignment Care Compare group NPD
• Newgen of Arkansas LLC

  • Emergency Medicine Physician
  • Clarksville, AR
  • NPI 1982578506
  Medicare reassignment Care Compare group NPD
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment Care Compare group NPD
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Rural Acute Care Hospital
  • Idabel, OK
  • NPI 1629020177
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  AR

  Medicare reassignment NPD
• Douglas Carlson DO, PA

  • Emergency Medicine Physician
  • Alma, AR
  • NPI 1760757066
  Authorized official Same address or phone
• East Arkansas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Osceola, AR
  • NPI 1043553860
  NPD
• East Arkansas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Clarksville, AR
  • NPI 1609259753
  NPD
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Surgical Clinic

  • Surgery Physician
  • Idabel, OK
  • NPI 1356506109
  NPD
• Pointer Trail Family Clinic PLLC

  • Family Medicine Physician
  • Van Buren, AR
  • NPI 1578684148
  NPD (past)
• River Valley Urgent Care PA

  • Medical Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1619133394
  NPD (past)
• McCurtain Memorial Medical Management, Inc.

  dba McCurtain Memorial Hospital

  • Critical Access Hospital
  • Idabel, OK
  • NPI 1063900975
  NPD (past)

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

• Johnson Regional Medical Center

  • General Acute Care Hospital
  • Clarksville, AR
  • NPI 1134116049
  Care Compare affiliation
• Mercy Hospital Ada, Inc

  • Ambulance
  • Ada, OK
  • NPI 1831533728

  Hospital

  Care Compare affiliation
• Mercy Hospital Ada, Inc

  dba Mercy Hospital Ada

  • General Acute Care Hospital
  • Ada, OK
  • NPI 1952643306
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1396707808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 RIDGE RD",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729217488",
            "telephone_number": "479-430-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 RIDGE RD",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729217488",
            "telephone_number": "479-430-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "DOUGLAS",
        "middle_name": "EUGENE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E4230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155935003",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200041730A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Hillary Burns
• Gregory Edwin Burris, D.C.
• Amy Butler, BS
• Laura Caldwell, LPC
• Sarah Calvillo
• Theresa Arena Carter
• Chance Cash
• Cedar Ridge, Inc
• Center for Child Development and Family Education
• Center for Child Development and Family Education

• Emergency Medicine Physician in Alma, AR
• Providers in Alma, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.

Verify at the official NPI Registry.