Active NPI 1245217231 Individual Practitioner Male Practitioner

Dr. Glen P Carlson , MD

Internal Medicine • Champlin, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Glen Carlson, MD is a certified Internal Medicine practicing in Champlin, MN. With approximately 28 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1998, Dr. Carlson delivers high-quality medical care to the local community at 12142 BUSINESS PARK BLVD N.

Dr. Carlson is affiliated with Park Nicollet Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, complete blood cell count (red cells, white blood cell, platelets), automated test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12142 Business Park Blvd N

Champlin, MN 553164525

Telephone 9529770500

Associated Practice Facility / Clinic

🏢 Group Health Plan Inc Facility NPI 1932147683

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Champlin, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +8.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Champlin, MN (2726 Statewide)

Telehealth Adoption Rate

75.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

60.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carlson (28 Years) 28 Yrs

Champlin Specialty Average (20.0 Years) 20.0 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
36415 Insertion of needle into vein for collection of blood sample	121	72	$21.50	$8.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	64	$478.00	$124.29
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	66	57	$25.90	$6.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$420.92	$125.57
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$329.94	$88.06
91320 Sarscv2 vac 30mcg trs-suc im	21	21	$195.00	$143.52
90480 Admn sarscov2 vacc 1 dose	21	21	$45.00	$41.80
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	13	13	$62.00	$15.70
G0008 Administration of influenza virus vaccine	13	13	$31.00	$30.38
90653 Vaccine for influenza for injection into muscle	11	11	$85.00	$81.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	138	77	$21.00	$8.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	54	$436.08	$122.45
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	76	65	$25.25	$6.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$263.84	$125.97
99213 Established patient office or other outpatient visit, typically 15 minutes	47	37	$302.53	$88.33
G0008 Administration of influenza virus vaccine	20	20	$31.00	$29.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$362.25	$150.95
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	17	17	$23.71	$23.23
91320 Sarscv2 vac 30mcg trs-suc im	14	14	$195.00	$119.30
90480 Admn sarscov2 vacc 1 dose	14	14	$45.00	$37.03
0124A Fee covid-19 vac 13 res	13	13	$45.00	$39.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	205	78	$21.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	49	$398.94	$126.59
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	72	64	$25.25	$6.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$252.65	$126.14
99213 Established patient office or other outpatient visit, typically 15 minutes	27	19	$284.53	$86.87
G0008 Administration of influenza virus vaccine	23	23	$31.00	$29.34
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$375.45	$164.30
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	18	18	$20.00	$19.62
0124A Fee covid-19 vac 13 res	16	16	$45.00	$38.89
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$73.00	$23.18
82565 Blood creatinine level	12	12	$20.00	$5.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	220	80	$20.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	41	$346.00	$128.81
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	62	48	$24.25	$6.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$288.00	$128.77
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	20	$73.00	$23.02
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$238.00	$90.78
G0008 Administration of influenza virus vaccine	13	13	$31.00	$17.00
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$19.00	$17.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	261	85	$20.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	52	$327.00	$106.29
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	57	53	$24.50	$6.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$288.00	$115.42
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$219.61	$69.17
99442 Telephone medical discussion with physician, 11-20 minutes	30	23	$120.20	$74.63
82565 Blood creatinine level	29	25	$19.25	$4.94
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)	26	22	$26.50	$6.74
80061 Blood test, lipids (cholesterol and triglycerides)	19	19	$50.50	$12.66
G0008 Administration of influenza virus vaccine	18	17	$31.00	$16.76
84460 Liver enzyme (sgpt), level	17	17	$20.00	$5.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	14	$68.00	$20.50
82947 Blood glucose (sugar) level	14	14	$14.75	$3.92
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$19.00	$19.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	244	94	$20.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	71	$308.64	$106.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$336.22	$112.12
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	34	27	$24.00	$7.04
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$196.41	$73.32
G0008 Administration of influenza virus vaccine	18	18	$31.00	$15.56
90662 Influenza vaccine split virus, preservative free	13	13	$19.00	$18.62
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$560.50	$168.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	157	56	$17.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	47	$298.00	$103.45
99213 Established patient office or other outpatient visit, typically 15 minutes	36	28	$198.41	$71.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	33	33	$581.00	$169.10
G0008 Administration of influenza virus vaccine	29	28	$31.00	$20.39
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	22	15	$24.50	$7.82
90662 Influenza vaccine split virus, preservative free	19	18	$14.00	$13.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$394.00	$115.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	164	58	$17.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	45	$283.00	$104.93
99213 Established patient office or other outpatient visit, typically 15 minutes	54	43	$192.00	$70.82
G0008 Administration of influenza virus vaccine	21	21	$31.00	$25.39
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	19	14	$23.25	$8.69
90662 Influenza vaccine split virus, preservative free	15	15	$14.00	$13.72
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	12	$28.00	$10.03

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MN 44524

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MN 44524

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

088244500 (MN)

Hospital & Practice Group Affiliations

Park Nicollet Clinic

12142 Business Park Blvd N, Champlin, MN 553164525

Phone: 9529770500

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Park Nicollet Clinic

15800 95th Ave N, Maple Grove, MN 553694400

Phone: 9529931440

Practice Associates & Co-Workers

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

13 Associated Practitioners

Kristine Gehrmann , PA-C

Physician Assistant

NPI 1023364296

Physician Assistant (Certified)

Dr. Brittany Schultz , MD

Family Medicine

NPI 1174269815

Doctor of Medicine (M.D.)

Dr. John Apostol , MD

Family Medicine

NPI 1245292655

Doctor of Medicine (M.D.)

Renee Leisen Fisher , FNP-C

Nurse Practitioner

NPI 1336872498

Family Nurse Practitioner (Certified)

Stone Kabwe , CNP, APRN, FNP-C

Nurse Practitioner

NPI 1376298141

Certified Nurse Practitioner, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Lawrence Mollo , MD

Pediatrics

NPI 1508122334

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

✅

NPI Profile Active April 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2016

Registered at 12142 BUSINESS PARK BLVD N, CHAMPLIN, MN 553164525 (Tel: 9529770500)

📍

Updated Business Mailing Address April 04, 2016

Registered at 8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 554254516

👤

Provider Name / Credentials Updated April 04, 2016

Recorded as GLEN CARLSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2016

Internal Medicine (License #44524 in MN)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2016

Pediatrics (License #44524 in MN)

🟢

Initial NPI Registration & Enumeration December 29, 2005

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: 1245217231

Entity Type:

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

Enumeration Date: December 29, 2005

Last Update: April 04, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8170 33rd Ave S, Po Box 1309 Mail Stop 21110q

Minneapolis, MN 554254516

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.