Individual provider Active NPI

Matthew Jerome Carlson, MD

  • Gynecologic Oncology Physician
  • McKinney, TX
National Provider Identifier
1528268463
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
Q0740 Issued in TX
Practice address
4201 Medical Center Dr Ste 180
McKinney, TX 75069-1778
Phone
(817) 759-7000
Fax
(817) 759-7027
NPI assigned
Jul 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X Q0740 TX Primary
Gynecologic Oncology Physician 207VX0201X 39669 IA

Addresses

Primary practice location

4201 Medical Center Dr Ste 180
McKinney, TX 75069-1778

Mailing address

800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone (817) 759-7000

Other practice location 1

800 W Magnolia Ave
Fort Worth, TX 76104-4611
Phone (817) 759-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcarlson@txcc.OncoEMRDirect.com Direct

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
I20140916001791 TX Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 9537309620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
University of Nebraska College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12200 Park Central Dr
Dallas, TX 75251-2100
Phone (972) 490-5970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.82 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39669IAMDGynecologic Oncology Physician
Q0740TXMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 25, 2019 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Oncology-Hematology Consultants PA Gynecologic Oncology CurrentSince Nov 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jan 25, 2019 Accepting new patients
Oncology Hematology Consultants, PA CurrentSince Nov 1, 2022 Accepting new patients

Locations

12200 Park Central Dr
Ste 410
Dallas, TX 75251
Phone (942) 490-5970

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

400 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 288-9700

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

7415 Las Colinas Blvd
Irving, TX 75063
Phone (248) 760-3339

4201 Medical Center Dr
Ste 180
McKinney, TX 75069
Phone (817) 261-4906

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

1600 Coit Rd
Ste 408
Plano, TX 75075
Phone (972) 492-3587

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

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.

Hospital & facility affiliations 2

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1528268463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W MAGNOLIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044611",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL CENTER DR STE 180",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691778",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044611",
            "country_code": "US",
            "telephone_number": "817-759-7000",
            "fax_number": "817-759-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MATTHEW",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "Q0740",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "IA",
            "license": "39669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcarlson@txcc.OncoEMRDirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4201 Medical Center Dr Ste 180",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750691778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.