Active NPI 1295783637 Individual Practitioner Male Practitioner

Dr. Robert R Carlson , MD

Surgery • Nacogdoches, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Carlson, MD is a certified Surgery practicing in Nacogdoches, TX. With approximately 38 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1988, Dr. Carlson delivers high-quality medical care to the local community at 1320 N UNIVERSITY DR STE A.

Dr. Carlson accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, subsequent hospital care with moderate levelof medical decision making, if using time, at least, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1320 N University Dr Ste A

Nacogdoches, TX 759614270

Telephone 9365689600

Associated Practice Facility / Clinic

🏢 Charles W Page Md Pa Facility NPI 1306892872

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Nacogdoches, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +11.9 yrs vs City Avg

City Avg: 26.1 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Nacogdoches, TX (2342 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carlson (38 Years) 38 Yrs

Nacogdoches Specialty Average (26.1 Years) 26.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	40	40	$961.35	$154.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	19	$156.00	$68.02
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$698.75	$102.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$84.00	$36.44

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	81	34	$175.00	$70.49
45380 Biopsy of large bowel using an endoscope	37	36	$950.73	$179.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	31	$725.51	$111.49
99213 Established patient office or other outpatient visit, typically 15 minutes	33	24	$141.00	$67.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	26	$207.00	$103.55
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$244.00	$98.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$331.00	$132.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$95.00	$38.14

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	100	42	$175.00	$68.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	61	$207.00	$101.67
99213 Established patient office or other outpatient visit, typically 15 minutes	63	50	$141.00	$69.24
45380 Biopsy of large bowel using an endoscope	50	49	$963.26	$164.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	41	39	$603.39	$97.11
99221 Initial hospital inpatient care per day, typically 30 minutes	32	30	$242.00	$95.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$204.00	$98.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$312.00	$153.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$94.00	$37.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$250.00	$98.44

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	95	52	$169.42	$67.04
99213 Established patient office or other outpatient visit, typically 15 minutes	78	62	$132.19	$66.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	48	$200.76	$96.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	42	$742.30	$106.92
45380 Biopsy of large bowel using an endoscope	43	41	$936.58	$164.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$202.91	$97.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	21	$241.33	$96.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$307.00	$149.03
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$232.00	$92.43
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$848.25	$171.44
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$708.82	$160.40

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	56	36	$153.07	$68.47
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	13	$100.25	$37.05
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$128.80	$67.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$212.00	$99.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$322.11	$129.01
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$203.05	$95.29
45380 Biopsy of large bowel using an endoscope	12	12	$1089.50	$148.43

Medical Specialties & State Licenses

CMS Verified: 2024-10-01

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX K3890

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License CO 5647

Surgery

NUCC Taxonomy Code: 208600000X

State License SD 10187

Surgery

NUCC Taxonomy Code: 208600000X

State License IA 33347

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0205799 (IA)

Commercial Insurance / Payer ID Railroad Medicare

020045344

Commercial Insurance / Payer ID Iowa Health Solutions

149900

Commercial Insurance / Payer ID Wellmark Bc/bs

15690 (IA)

Commercial Insurance / Payer ID John Deere Health

IA 0184

Commercial Insurance / Payer ID Health Alliance

056885

Commercial Insurance / Payer ID Midlands Choice

18978

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Charles Page , MD

Specialist

NPI 1437104585

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location October 01, 2024

Registered at 1320 N UNIVERSITY DR STE A, NACOGDOCHES, TX 759614270 (Tel: 9365689600)

📍

Updated Business Mailing Address October 01, 2024

Registered at PO BOX 157, LOVELADY, TX 758510157 (Tel: 9705806910)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2024

Surgery (License #5647 in CO)

✅

NPI Profile Active September 15, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address September 15, 2017

Registered at 1518 MULBERRY AVE,, SUITE 102, MUSCATINE, IA 52761 (Tel: 5632624112)

📍

Updated Practice Location September 15, 2017

Registered at 915 13TH AVE N, CLINTON, IA 527325067 (Tel: 5632432511)

👤

Provider Name / Credentials Updated September 15, 2017

Recorded as ROBERT CARLSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2017

Surgery (License #33347 in IA)

✅

NPI Profile Active January 06, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2014

Registered at 915 13TH AVE N, CLINTON, IA 527325067 (Tel: 5632432511)

📍

Updated Business Mailing Address January 06, 2014

Registered at 915 13TH AVE N, CLINTON, IA 527325067 (Tel: 5632432511)

👤

Provider Name / Credentials Updated January 06, 2014

Recorded as BOB CARLSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2014

Surgery (License #33347 in IA)

🟢

Initial NPI Registration & Enumeration May 05, 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: 1295783637

Entity Type:

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

Enumeration Date: May 05, 2006

Last Update: October 01, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 157

Lovelady, TX 758510157

Phone: 9705806910

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.