Active NPI 1366488736 Individual Practitioner Male Practitioner

Dr. Carl Leon Danielson , MD FACS

Surgery • Melrose, MA

Professional Overview & Biography Verified Profile Summary

Dr. Carl Danielson, MD FACS is a registered healthcare professional specializing in Surgery in Melrose, MA. Practice services are available at 50 ROWE STREET under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

50 Rowe Street
Suite 400

Melrose, MA 02176

Telephone 7816654462

Fax 7816201930

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Melrose, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Melrose, MA (1077 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	53	$144.79	$86.41
11042 Removal of skin and tissue, 20.0 sq cm or less	60	18	$209.00	$54.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$206.00	$107.52
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	28	$83.00	$36.56
99221 Initial hospital inpatient care per day, typically 30 minutes	28	26	$200.00	$96.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$86.00	$53.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$209.00	$122.91
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$146.00	$69.62
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	11	$47.00	$18.00
76937 Ultrasonic guidance for blood vessel access	12	11	$41.00	$13.46
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	11	$1474.00	$321.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	30	$83.00	$35.71
97597 Removal of tissue from wound, 20.0 sq cm or less	50	22	$77.08	$33.03
99213 Established patient office or other outpatient visit, typically 15 minutes	37	29	$144.00	$87.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$206.00	$107.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	27	$86.00	$52.26
99221 Initial hospital inpatient care per day, typically 30 minutes	33	31	$200.00	$93.97
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$146.00	$69.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$65.00	$34.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	14	$149.00	$68.89
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$47.00	$18.01
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1474.00	$320.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	23	$76.44	$38.22
97597 Removal of tissue from wound, 20.0 sq cm or less	47	11	$46.00	$36.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	23	$142.77	$70.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$270.00	$133.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$206.00	$102.62
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$197.07	$98.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$315.00	$157.46
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$143.58	$71.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	44	$200.00	$83.24
99213 Established patient office or other outpatient visit, typically 15 minutes	35	27	$200.00	$55.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$380.00	$121.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$350.00	$121.33
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$300.00	$110.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$400.00	$182.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	64	$200.00	$80.82
99213 Established patient office or other outpatient visit, typically 15 minutes	59	44	$200.00	$53.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	28	$180.00	$42.17
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$300.00	$109.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$350.00	$81.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$350.00	$113.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$500.00	$147.26
11042 Removal of skin and tissue, 20.0 sq cm or less	23	15	$400.00	$65.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	15	$380.00	$118.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$180.00	$47.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	56	$200.00	$79.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$350.00	$117.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	35	$180.00	$48.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	27	$180.00	$41.29
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$200.00	$53.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	25	$500.00	$144.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	13	$200.00	$76.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$550.00	$213.87

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 76101

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3093719 (MA)

Commercial Insurance / Payer ID Aetna

459233

Commercial Insurance / Payer ID Medicare Preferred Tufts

076101

Commercial Insurance / Payer ID Us Healthcare

459233

Commercial Insurance / Payer ID Blue Cross Blue Shield

J12576

Commercial Insurance / Payer ID Tufts Health Plans

076101

Commercial Insurance / Payer ID Harvard Pilgrim

8557

Commercial Insurance / Payer ID Cost Care

39271

Commercial Insurance / Payer ID Network Health

99028701

Commercial Insurance / Payer ID Neighborhood Health Plan

0035205

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 13, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 13, 2015

Registered at 50 ROWE STREET, SUITE 400, MELROSE, MA 02176 (Tel: 7816654462)

📍

Updated Business Mailing Address March 13, 2015

Registered at 50 ROWE STREET, SUITE 400, MELROSE, MA 02176 (Tel: 7816654462)

👤

Provider Name / Credentials Updated March 13, 2015

Recorded as CARL DANIELSON, MD FACS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2015

Surgery (License #76101 in MA)

🟢

Initial NPI Registration & Enumeration June 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Carl Danielson. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366488736

Entity Type:

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

Enumeration Date: June 22, 2006

Last Update: March 13, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

50 Rowe Street, Suite 400

Melrose, MA 02176

Phone: 7816654462

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.