NPIMap

Individual provider Active NPI

William E Carlson, M.D.

  • Orthopaedic Surgery Physician
  • Stuart, FL
National Provider Identifier
1558344630
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME67339 Issued in FL
Practice address
1050 SE Monterey Rd
Suite 400
Stuart, FL 34994
Phone
(772) 288-2400
NPI assigned
Nov 22, 2005
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME67339 FL
Orthopaedic Surgery Physician 207X00000X ME67339 FL Primary

Addresses

Primary practice location

1050 SE Monterey Rd
Suite 400
Stuart, FL 34994

Mailing address

1050 SE Monterey Rd
Suite 400
Stuart, FL 34994
Phone (772) 288-2400

Other practice location 1

9401 SW Discovery Way Ste 101
Port St Lucie, FL 34987-2381
Phone (772) 288-2400

Other practice location 2

9401 SW Discovery Way Ste 201
Port St Lucie, FL 34987-2381
Phone (772) 288-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20051115000624 FL Practitioner - Orthopedic Surgery 6103808597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 SE Monterey Rd
Stuart, FL 34994-4512
Phone (772) 288-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement13
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME67339FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Orthopaedics & Sports Medicine, PA Orthopaedic Surgery CurrentSince Dec 30, 1997 Accepting new patients
South Florida Orthopaedics & Sports Medicine, PA Orthopaedic Surgery CurrentSince Dec 30, 1997 Accepting new patients
South Florida Orthopaedics & Sports Medicine,PA Past Accepting new patients

Locations

1881 SE Tiffany Ave
Ste 202
Port St Lucie, FL 34952

9401 SW Discovery Way
Port St Lucie, FL 34987

9401 SW Discovery Way
Ste 101
Port St Lucie, FL 34987
Phone (772) 261-6824

9401 SW Discovery Way
Ste 201
Port St Lucie, FL 34987

1050 SE Monterey Rd
Ste 102
Stuart, FL 34994
Phone (772) 220-9700

1050 SE Monterey Rd
Ste 204
Stuart, FL 34994
Phone (772) 781-5960

1050 SE Monterey Rd
Ste 400
Stuart, FL 34994

Interoperability endpoints

  • Direct secure messaging: william.carlson.p1@direct.southflaortho.nextgenshare.com

Organizations & group practices 10

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 4

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1558344630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "SUITE 400",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-288-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "SUITE 400",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-288-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 SW Discovery Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349872381",
            "country_code": "US",
            "telephone_number": "772-288-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9401 SW Discovery Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Port St Lucie",
            "state": "FL",
            "postal_code": "349872381",
            "country_code": "US",
            "telephone_number": "772-288-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME67339",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME67339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.