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Deactivated NPI 1013947100 Deactivated / Inactive NPI Male Practitioner

Dr. David C Carlson , MD

Internal Medicine • Fargo, ND

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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, Dr. David Carlson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 04, 2006
NPI Deactivation Date August 04, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. David Carlson, MD was a registered Internal Medicine practicing in Fargo, ND. Throughout an active medical career spanning 11 years, Dr. Carlson provided care at the practice location at 1702 UNIVERSITY DR S until profile deactivation on 2017-08-04.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, x-ray of chest, 2 views, front and side. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1702 University Dr S

Fargo, ND 581034940

Telephone 7013643300
Fax 7013648906
Associated Practice Facility / Clinic
🏢 Dakota Clinic, Ltd. Facility NPI 1740231182

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
134 Specialists

Practicing in Fargo, ND (255 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.7% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
91 61 $301.00 $105.00
36415 Insertion of needle into vein for collection of blood sample
73 50 $24.00 $2.86
99213 Established patient office or other outpatient visit, typically 15 minutes
20 17 $204.00 $71.85
71020 X-ray of chest, 2 views, front and side
14 14 $95.00 $28.09

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License ND 4612

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Bangalore Vijayalakshmi , MD

Physical Medicine & Rehabilitation

NPI 1003843574

Doctor of Medicine (M.D.)

Dr. Robert Renschler , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023363587

Doctor of Podiatric Medicine

NPI 1033134374

Doctor of Optometry

NPI 1033430780

Doctor of Medicine (M.D.)

Dr. Bess Martin , PhD, LP

Clinical Neuropsychologist

NPI 1043415318

Doctor of Philosophy (Ph.D.), Licensed Psychologist

NPI 1043666274

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 August 04, 2017

Record deactivated on August 04, 2017

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7013643300)

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Updated Business Mailing Address July 09, 2007

Registered at PO BOX 6001, FARGO, ND 581086001 (Tel: 7013643300)

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Provider Name / Credentials Updated July 09, 2007

Recorded as DAVID CARLSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Internal Medicine (License #4612 in ND)

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Initial NPI Registration & Enumeration July 04, 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: 1013947100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2006
Last Update: July 09, 2007
Deactivation Date: August 04, 2017

Mailing Address

Po Box 6001

Fargo, ND 581086001

Phone: 7013643300

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.