Dawn E Carlson, MD
Individual provider Active NPI Emergency Medicine Physician · Colorado Springs, CO
NPI 1790774776 · NPPES record last updated Apr 17, 2008
Key facts
- NPI
- 1790774776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2005021691 (MO)
- Practice address
- 445 E Cheyenne Mountain Blvd Ste C
PMB 406
Colorado Springs, CO 80906-4570 - Phone
- (877) 978-8100
- NPI assigned
- Oct 20, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Medical College of Wisconsin, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Huerfano County Hospital District
Practice addresses (Care Compare)
23500 US Hwy 160
Walsenburg, CO 81089-9524
Phone (719) 738-5100
Hospital & facility affiliations
- Spanish Peaks Regional Health Center
- Centura Health-Penrose St Francis Health Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.89 of 100
- Quality
- 86.88
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 91.15
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080626000312 | CO | Practitioner - Emergency Medicine | 2365456464 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0006172 | DE | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huerfano County Hospital District | Current | Accepting new patients | |
| Usacs Observation Medicine Services of Colorado Inc. | Current |
Accepting new patients | |
| Huerfano County Hospital District | Current |
Accepting new patients | |
| Usacs Observation Medicine Services of Colorado Inc. | Emergency Medicine | Current |
Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current |
Accepting new patients |
| Usacs of Colorado, Inc | Emergency Medicine | Current | Accepting new patients |
| Usacs of Colorado Inc | Emergency Medicine | Current |
Accepting new patients |
| Huerfano County Hospital District | Current |
Accepting new patients | |
| Doctors for Emergency Service | Emergency Medicine | Past | Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| North County Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| BC Progress Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| BC Missouri Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
Locations
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | C1-0006172 | DE | |
| Emergency Medicine Physician | 207P00000X | 2005021691 | MO | Yes |
Addresses
Primary practice location
445 E Cheyenne Mountain Blvd Ste C
PMB 406
Colorado Springs, CO 80906-4570
Mailing address
126 Stanwell St
Colorado Springs, CO 80906-7993
Phone (719) 576-0515
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207294406 | Medicaid | MO |
Other providers in Colorado Springs, CO
- Adolph C Carlson
- Anna Carlson
- April Michelle Carlson
- Cassandra Carlson
- David Michael Carlson
- Dean William Carlson
- Emily Rose Carlson
- Eric Carlson
- Erica Carlson
- Erik Richard Carlson
All providers in Colorado Springs, CO · Emergency Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.