Michael Carson, MD
Individual provider Active NPI Emergency Medicine Physician · Ketchikan, AK
NPI 1982165437 · NPPES record last updated Jun 17, 2022
Key facts
- NPI
- 1982165437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 191010 (AK)
- Practice address
- 3100 Tongass Ave
Ketchikan, AK 99901-5746 - Phone
- (907) 225-5171
- NPI assigned
- Mar 27, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.9 of 100
- Quality
- 76.07
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.12 of 100
- Quality
- 81.91
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 40.93
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
- 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 |
|---|---|---|---|---|
| I20220816002644 | AK | Practitioner - Emergency Medicine | 0547593691 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191010 | AK | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat-Su Emergency Medicine Physicians Corp | Emergency Medicine | Current |
Accepting new patients |
| Nes Washington, Inc. | Emergency Medicine | Current |
Accepting new patients |
Locations
3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104
2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000
Interoperability endpoints
- mcarson558807@direct.peacehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 191010 | AK | Yes |
Addresses
Primary practice location
3100 Tongass Ave
Ketchikan, AK 99901-5746
Mailing address
12830 Trent Cir
Anchorage, AK 99516-2761
Other practice location 1
UVMMC 111 Colchester Ave
Burlington, VT 05401
Phone (802) 847-2345
Other providers in Ketchikan, AK
- Leah H. Canfield
- William Perry-Conrad Canfield
- Capitolmed LLC
- Carr-Gottstein Foods Co
- Carr-Gottstein Foods Co
- Kathryn Lois Carssow
- Natalie Carter
- Nicole Castile-McKay
- Bianca Castillo
- Kristen Castruita
All providers in Ketchikan, AK · Emergency Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2022. 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.