NPIMap

Individual provider Active NPI

Matthew J Carlson, PA-C

  • Surgical Physician Assistant
  • Andover, MA
National Provider Identifier
1992028583
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA5055 Issued in MA
Practice address
323 Lowell St
Andover, MA 01810-4659
Phone
(978) 794-1946
Fax
(978) 975-3925
NPI assigned
Mar 10, 2010
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1037 NH
Surgical Physician Assistant 363AS0400X PA5055 MA Primary
Athletic Trainer 2255A2300X MA

Addresses

Primary practice location

323 Lowell St
Andover, MA 01810-4659

Mailing address

575 Turnpike St
Suite 11
North Andover, MA 01845-5924
Phone (978) 794-1946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151221000583 NH Practitioner - Physician Assistant 2062713811 Reassigns benefits to 3 organizations
I20151221000700 MA Practitioner - Physician Assistant 2062713811 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 Boulder Point Dr
Plymouth, NH 03264-3168
Phone (603) 224-3368

150 Flanders Rd
Westborough, MA 01581-1017
Phone (781) 890-2133

16 Pelham Rd
Suite 1
Salem, NH 03079-3077
Phone (603) 898-2244

323 Lowell St
Andover, MA 01810-4659
Phone (978) 794-1946

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.33 of 100Reported as group
Quality
45.66
Promoting interoperability
100
Improvement activities
40
Cost
68.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1037NHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eone Medical PLLC CurrentSince Mar 10, 2022 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 28, 2024 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 28, 2024 Accepting new patients
Eone Medical Subsidiary PLLC CurrentSince Oct 4, 2022 Accepting new patients

Locations

62 Brown St
Ste 303
Haverhill, MA 01830
Phone (978) 478-5030

575 Turnpike St
Ste 11
North Andover, MA 01845
Phone (978) 327-6561

575 Turnpike St
Ste 21
North Andover, MA 01845
Phone (978) 686-7623

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

103 Boulder Point Dr
Plymouth, NH 03264
Phone (603) 536-1284

16 Pelham Rd
Ste 1
Salem, NH 03079
Phone (603) 898-2244

Interoperability endpoints

  • Direct secure messaging: matthew.carlson.3@26085.direct.athenahealth.com

Organizations & group practices 8

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 3

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": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1992028583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST",
            "address_2": "SUITE 11",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455924",
            "telephone_number": "978-794-1946",
            "fax_number": "978-975-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 LOWELL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104659",
            "telephone_number": "978-794-1946",
            "fax_number": "978-975-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-10",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NH",
            "license": "1037",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MA",
            "license": "PA5055",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MA

Sources for this page

Verify at the official NPI Registry.