NPIMap

Individual provider Active NPI

Jeffrey R Carlson, MD

  • Orthopaedic Surgery of the Spine Physician
  • Newport News, VA
National Provider Identifier
1518029347
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
0101059179 Issued in VA
Practice address
250 Nat Turner Blvd S
Newport News, VA 23606-2899
Phone
(757) 596-1900
Fax
(866) 420-0168
NPI assigned
Dec 15, 2006
Last updated
Jan 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101059179 VA
Orthopaedic Surgery of the Spine Physician 207XS0117X 0101059179 VA Primary

Addresses

Primary practice location

250 Nat Turner Blvd S
Newport News, VA 23606-2899

Mailing address

250 Nat Turner Blvd S
Newport News, VA 23606-2899
Phone (757) 596-1900

Other identifiers 2

IdentifierTypeStateIssuer
208171OtherANTHEM BC
6407188MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091103000154 VA Practitioner - Orthopedic Surgery 4385702059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
George Washington University School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians

Practice addresses (Care Compare)

1109 Memorial Dr E
Ahoskie, NC 27910-3919
Phone (252) 332-6760

1401 N High St
Franklin, VA 23851-1244
Phone (757) 516-8130

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

250 Nat Turner Blvd S
Newport News, VA 23606-3074
Phone (757) 596-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.29 of 100Reported as group
Quality
84.93
Promoting interoperability
98
Improvement activities
40
Cost
64.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement17
Spinal fusion212
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Laminectomy or laminotomy (partial removal of spine bones)140
Skin biopsy32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery and Sports Medicine Specialists CurrentSince Aug 1, 1999 Accepting new patients
Orthopaedic Surgery & Sports Med Specialist of Hampton RDS PC Orthopaedic Surgery CurrentSince Aug 1, 1999 Accepting new patients

Locations

250 Nat Turner Blvd S
Newport News, VA 23606
Phone (757) 596-1900

580 City Center Blvd
Newport News, VA 23606
Phone (757) 240-7511

Interoperability endpoints

  • Direct secure messaging: jeffrey.carlson.p1@direct.osc-ortho.nextgenshare.com

Organizations & group practices 3

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.

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1518029347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NAT TURNER BLVD S",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062899",
            "telephone_number": "757-596-1900",
            "fax_number": "866-420-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 NAT TURNER BLVD S",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062899",
            "telephone_number": "757-596-1900",
            "fax_number": "866-420-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101059179",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "VA",
            "license": "0101059179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "208171",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6407188",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.