Individual provider Active NPI

Tobin Moon Carson, D.O.

  • Hospitalist Physician
  • Farmington, ME
National Provider Identifier
1619317427
Registry record updated Sep 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DO3375 Issued in ME
Practice address
111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone
(207) 779-2567
NPI assigned
Jun 26, 2013
Last updated
Sep 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 283464 NY
Hospitalist Physician 208M00000X DO3375 ME Primary

Addresses

Primary practice location

111 Franklin Health CMNS
Farmington, ME 04938-6144

Mailing address

111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 779-2567

Other practice location 1

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-5067

Other identifiers 1

IdentifierTypeStateIssuer
DO3375OtherMEMAINE STATE LICENSE (DO)

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Tobin.Carson@mainehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20220510001457 ME Practitioner - HospitalistPractitioner - Family Practice 8022305440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
University of New England, College of Osteo Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 779-3113

181 Franklin Health CMNS
Farmington, ME 04938-6144

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3375MEMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Apr 11, 2022 Accepting new patients
Mainehealth CurrentSince Apr 11, 2022 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Current Accepting new patients

Locations

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: tcarson462786@direct.mmc.mainehealth.org
  • Direct secure messaging: tobin.carson@mainehealth.org

Organizations & group practices 4

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 1

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664064000000",
    "number": "1619317427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FRANKLIN HEALTH CMNS",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386144",
            "telephone_number": "207-779-2567",
            "fax_number": "207-779-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FRANKLIN HEALTH CMNS",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386144",
            "telephone_number": "207-779-2567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213001",
            "country_code": "US",
            "telephone_number": "585-922-5067",
            "fax_number": "585-922-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "TOBIN",
        "middle_name": "MOON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "283464",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "DO3375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE STATE LICENSE (DO)",
            "identifier": "DO3375",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tobin.Carson@mainehealth.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tobin.carson@maineheath.org",
            "address_1": "111 Franklin Health Cmns",
            "city": "Farmington",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049386144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, ME

Sources for this page

Verify at the official NPI Registry.