Active NPI 1689698649 Individual Practitioner Male Practitioner

Dr. Grant Carlson , MD

Plastic Surgery • Atlanta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Grant Carlson, MD is a certified Plastic Surgery practicing in Atlanta, GA. With approximately 44 years of clinical experience since graduating from Emory University School Of Medicine in 1982, Dr. Carlson delivers high-quality medical care to the local community at 1327 CLIFTON RD NE.

Dr. Carlson is affiliated with The Emory Clinic Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of breast growth, open procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1327 Clifton Rd Ne

Atlanta, GA 303221013

Telephone 4047783307

Medicare Profile & Education

Medical School

Emory University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Atlanta, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +20.9 yrs vs City Avg

City Avg: 23.1 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

69 Specialists

Practicing in Atlanta, GA (190 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carlson (44 Years) 44 Yrs

Atlanta Specialty Average (23.1 Years) 23.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	153	110	$335.99	$84.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	170	114	$315.94	$89.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$571.69	$166.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	12	$438.25	$127.60
19125 Removal of breast growth, open procedure	13	12	$2451.69	$457.23
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$2051.25	$250.74
38900 Lymph node imaging during surgery	11	11	$582.36	$136.99
19303 Total removal of breast	11	11	$5670.00	$945.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	74	$297.33	$91.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	60	$416.19	$128.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$541.57	$169.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$189.41	$57.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	103	$266.96	$92.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$387.00	$131.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$154.35	$56.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$547.35	$169.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	75	$147.31	$46.31
99213 Established patient office or other outpatient visit, typically 15 minutes	37	36	$250.05	$76.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$538.56	$161.11
38900 Lymph node imaging during surgery	11	11	$556.73	$146.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	185	141	$140.11	$45.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$520.97	$162.71
19125 Removal of breast growth, open procedure	14	14	$2054.86	$429.22
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$230.71	$72.22
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1706.15	$229.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	175	141	$137.77	$42.75
99213 Established patient office or other outpatient visit, typically 15 minutes	36	32	$229.22	$70.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$520.75	$160.22
19125 Removal of breast growth, open procedure	15	15	$1965.00	$442.57
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$1758.00	$244.11
38900 Lymph node imaging during surgery	11	11	$518.36	$138.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	243	174	$133.60	$43.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$509.94	$163.87
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$231.33	$72.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$332.46	$107.98
19125 Removal of breast growth, open procedure	13	13	$1883.62	$410.60

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License GA 025122

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License GA 025122

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000462866A (GA)

Commercial Insurance / Payer ID Railroad Medicare

020020048 (GA)

Commercial Insurance / Payer ID Bcbs

497338 (GA)

Commercial Insurance / Payer ID United Healthcare

1241805 (GA)

Commercial Insurance / Payer ID Us Healthcare

515148 (GA)

Commercial Insurance / Payer ID Phcs

Y 19930601 (GA)

Hospital & Practice Group Affiliations

The Emory Clinic Inc

1365 Clifton Rd Ne, Atlanta, GA 303221013

Phone: 4047787525

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. Caroline Breit , MD

Surgery

NPI 1083292031

Doctor of Medicine (M.D.)

Dr. William Wood , MD

Surgery - Surgical Oncology

NPI 1083634067

Doctor of Medicine (M.D.)

Dr. Mohammad Zaidi , MD

Surgery - Surgical Oncology

NPI 1104205996

Doctor of Medicine (M.D.)

Dr. Monica Rizzo , MD

Surgery - Surgical Oncology

NPI 1114949237

Doctor of Medicine (M.D.)

Dr. Keith Delman , MD

Surgery - Surgical Oncology

NPI 1124030390

Doctor of Medicine (M.D.)

Sarah Apatov , PA-C

Physician Assistant

NPI 1144603473

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2019

Plastic Surgery (License #025122 in GA)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1327 CLIFTON RD NE, ATLANTA, GA 303221013 (Tel: 4047783307)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1327 CLIFTON RD NE, ATLANTA, GA 303221013 (Tel: 4047783307)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GRANT CARLSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #025122 in GA)

🟢

Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689698649

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 26, 2006

Last Update: February 19, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1327 Clifton Rd Ne

Atlanta, GA 303221013

Phone: 4047783307

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.