Active NPI 1679578603 Individual Practitioner Male Practitioner

Dr. Paul A Carson , MD

Internal Medicine • Pittsburgh, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Carson, MD is a certified Internal Medicine practicing in Pittsburgh, PA. With approximately 33 years of clinical experience since graduating from University Of Toledo College Of Medicine in 1993, Dr. Carson delivers high-quality medical care to the local community at 320 E NORTH AVE.

Dr. Carson is affiliated with Allegheny Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

320 E North Ave

Pittsburgh, PA 152124756

Telephone 4123593030

Fax 4123593060

Associated Practice Facility / Clinic

🏢 Allegheny Radiology Associates, Ltd Facility NPI 1841297876

Medicare Profile & Education

Medical School

University Of Toledo College Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pittsburgh, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +14.2 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

769 Specialists

Practicing in Pittsburgh, PA (7609 Statewide)

Telehealth Adoption Rate

20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carson (33 Years) 33 Yrs

Pittsburgh Specialty Average (18.8 Years) 18.8 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	253	118	$227.76	$76.77
99239 Hospital discharge day management, more than 30 minutes	61	59	$330.23	$111.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$373.54	$123.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	12	$142.88	$48.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	15	$345.33	$115.20
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$237.23	$80.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	248	103	$225.03	$76.42
99239 Hospital discharge day management, more than 30 minutes	54	53	$325.44	$110.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	15	$320.31	$116.77
99238 Hospital discharge day management, 30 minutes or less	13	13	$228.69	$79.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	294	116	$205.10	$69.72
99239 Hospital discharge day management, more than 30 minutes	43	41	$302.65	$101.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	15	$110.88	$38.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	17	$291.50	$101.02
99238 Hospital discharge day management, 30 minutes or less	15	15	$206.73	$65.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$569.50	$184.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	315	124	$201.00	$70.40
99239 Hospital discharge day management, more than 30 minutes	67	65	$298.00	$104.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$562.00	$195.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	21	$288.00	$102.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	13	$109.00	$37.98
99238 Hospital discharge day management, 30 minutes or less	21	21	$203.00	$68.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$381.00	$127.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	240	103	$200.00	$72.62
99239 Hospital discharge day management, more than 30 minutes	42	41	$293.00	$105.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	24	$286.00	$104.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	14	$108.00	$39.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$556.00	$183.87
99238 Hospital discharge day management, 30 minutes or less	17	17	$200.00	$73.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	255	131	$181.00	$70.04
99239 Hospital discharge day management, more than 30 minutes	64	63	$267.00	$105.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$505.00	$200.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	27	$259.00	$100.12
99217 Hospital observation care on day of discharge	29	29	$181.00	$69.96
99238 Hospital discharge day management, 30 minutes or less	26	26	$181.00	$72.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	17	$98.00	$37.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$341.00	$135.90
99220 Hospital observation care, typically 70 minutes	12	12	$463.00	$184.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	254	117	$179.98	$71.80
99239 Hospital discharge day management, more than 30 minutes	65	63	$265.85	$105.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$503.41	$193.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	34	$256.79	$102.83
99217 Hospital observation care on day of discharge	22	22	$179.36	$72.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$340.16	$134.96
99220 Hospital observation care, typically 70 minutes	12	11	$461.17	$183.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	258	117	$175.00	$70.53
99239 Hospital discharge day management, more than 30 minutes	55	55	$262.00	$104.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	43	$495.00	$195.49
99217 Hospital observation care on day of discharge	32	32	$177.00	$70.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	22	$253.00	$102.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$351.36	$134.26
99238 Hospital discharge day management, 30 minutes or less	20	19	$177.00	$70.85
99220 Hospital observation care, typically 70 minutes	17	17	$452.00	$182.46
99219 Hospital observation care, typically 50 minutes	15	15	$329.00	$123.76

Medical Specialties & State Licenses

CMS Verified: 2021-09-03

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD056944L

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.

Hospital & Practice Group Affiliations

Allegheny Clinic

320 E N Ave, Pittsburgh, PA 152124756

Phone: 4123593457

Practice Associates & Co-Workers

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

40 Associated Practitioners

Vishal Patel

Hospitalist

NPI 1003194515

Dr. Vincent Ceretto , DO

Emergency Medicine - Medical Toxicology

NPI 1003262999

Doctor of Osteopathic Medicine (D.O.)

Dr. Bradford Bennett , DO

Hospitalist

NPI 1013411420

Doctor of Osteopathic Medicine (D.O.)

Susan Ott , CRNP

Nurse Practitioner - Acute Care

NPI 1023152626

Certified Registered Nurse Practitioner

Dr. Johat Aponte , MD

Hospitalist

NPI 1033504030

Doctor of Medicine (M.D.)

Ruth Guilinger

Internal Medicine

NPI 1043365893

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 11, 2015

Registered at 320 E NORTH AVE, PITTSBURGH, PA 152124756 (Tel: 4123593030)

📍

Updated Business Mailing Address August 11, 2015

Registered at 320 E NORTH AVE, PITTSBURGH, PA 152124756 (Tel: 4123593030)

👤

Provider Name / Credentials Updated August 11, 2015

Recorded as PAUL CARSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2015

Internal Medicine (License #MD056944L in PA)

🟢

Initial NPI Registration & Enumeration June 16, 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: 1679578603

Entity Type:

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

Enumeration Date: June 16, 2005

Last Update: September 03, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

320 E North Ave

Pittsburgh, PA 152124756

Phone: 4123593030

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.