Individual provider Active NPI

Carlton K. McQueen, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bellingham, WA
National Provider Identifier
1659323657
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD00039789 Issued in WA
Practice address
710 Birchwood Ave Ste 101
Bellingham, WA 98225-1720
Phone
(360) 676-0922
Fax
(360) 647-4726
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
University of Mississippi School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Anesthesia Services PLLC 39 clinicians
Fourth Corner Neurosurgical Associates Inc PS 8 clinicians

Practice addresses (Care Compare)

1145 Broadway
Seattle, WA 98122-4201
Phone (425) 615-6100

710 Birchwood Ave
Suite 101
Bellingham, WA 98225-1720
Phone (360) 676-0922

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Island Hospital Hospital, Anacortes, WA, CCN 500007
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040324000685 WA Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Internal Medicine 8729979075 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fourth Corner Neurosurgical Associates Inc PS Pain Medicine CurrentSince Apr 1, 2012 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Sep 27, 2013 Accepting new patients
Fourth Corner Neurosurgical Associates Inc PS CurrentSince Feb 19, 2017 Accepting new patients
Advanced Anesthesia Services, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Sep 27, 2013 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Anesthesia Consultants of the South LLC PastSince May 1, 2005 Accepting new patients

Locations

710 Birchwood Ave
Ste 101
Bellingham, WA 98225
Phone (360) 626-0922

710 Birchwood Ave
Ste 103
Bellingham, WA 98225
Phone (360) 527-0404

3726 Broadway
Ste 206
Everett, WA 98201
Phone (425) 374-5160

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

1145 Broadway
Seattle, WA 98122

35302 SE Center St
Snoqualmie, WA 98065
Phone (425) 216-8810

Interoperability endpoints

  • Direct secure messaging: ckmcqueen@fcnsa.direct.emds.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD00039789 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

710 Birchwood Ave Ste 101
Bellingham, WA 98225-1720

Mailing address

710 Birchwood Ave
Ste 101
Bellingham, WA 98225-1720
Phone (425) 775-6767

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 5, 2022.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1659323657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BIRCHWOOD AVE",
            "address_2": "STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251720",
            "telephone_number": "425-775-6767",
            "fax_number": "425-774-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BIRCHWOOD AVE STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251720",
            "telephone_number": "360-676-0922",
            "fax_number": "360-647-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "CARLTON",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "MD00039789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.