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Deactivated NPI 1689664294 Deactivated / Inactive NPI Male Practitioner

John Carlson

Pathology - Anatomic Pathology • Albany, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Carlson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2005
NPI Deactivation Date May 14, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

John Carlson was a registered Pathology - Anatomic Pathology practicing in Albany, NY. Throughout an active medical career spanning 21 years, John Carlson provided care at the practice location at 47 NEW SCOTLAND AVE until profile deactivation on 2026-05-14.

Historical Medicare Part B clinical services included pathology examination of tissue using a microscope, intermediate complexity, special stained specimen slides to examine tissue, antibody evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

47 New Scotland Ave

Albany, NY 122083412

Telephone 5182623738
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pathology - Anatomic Pathology in Albany, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.5 Yrs
State Avg: 34.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Albany, NY (408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.9% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity
2,107 1,436 $117.00 $38.42
88341 Special stained specimen slides to examine tissue
186 33 $88.00 $28.80
88350 Antibody evaluation, each additional single antibody stain procedure
156 25 $89.00 $29.19
88305 Pathology examination of tissue using a microscope, intermediate complexity
145 102 $198.86 $66.13
88304 Pathology examination of tissue using a microscope, moderately low complexity
80 72 $36.00 $11.71
88312 Special stained specimen slides to identify organisms including interpretation and report
70 52 $84.00 $27.08
88342 Special stained specimen slides to examine tissue, initial procedure
51 40 $110.00 $35.98
88346 Antibody evaluation, initial single antibody stain procedure
26 25 $113.00 $36.52
88302 Pathology examination of tissue using a microscope
25 18 $22.00 $6.96
88313 Special stained specimen slides to examine tissue including interpretation and report
25 19 $37.00 $12.08
88302 Pathology examination of tissue using a microscope
17 14 $22.00 $7.18
88312 Special stained specimen slides to identify organisms including interpretation and report
17 12 $300.00 $42.74
88321 Surgical pathology consultation and report on referred slides prepared elsewhere
13 13 $302.00 $84.44

Medical Specialties & State Licenses

Pathology - Anatomic Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0101X

State License NY 196363

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1013907633

Doctor of Medicine (M.D.)

Dr. Llewellyn Foulke , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1144210774

Doctor of Medicine (M.D.)

Dr. Tipu Nazeer , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1174513592

Doctor of Medicine (M.D.)

Dr. Timothy Jennings , MD

Pathology - Anatomic Pathology

NPI 1205826856

Doctor of Medicine (M.D.)

Dr. Anna Boguniewicz , MD

Pathology - Anatomic Pathology

NPI 1336139930

Doctor of Medicine (M.D.)

Dr. Jeffrey Ross , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1689664013

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 14, 2026

Record deactivated on May 14, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 47 NEW SCOTLAND AVE, ALBANY, NY 122083412 (Tel: 5182623738)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 909, LATHAM, NY 121100909 (Tel: 5187854609)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN CARLSON

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

Pathology (License #196363 in NY)

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Initial NPI Registration & Enumeration October 25, 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: 1689664294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2005
Last Update: July 08, 2007
Deactivation Date: May 14, 2026

Mailing Address

Po Box 909

Latham, NY 121100909

Phone: 5187854609

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

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