Active NPI 1407076193 Individual Practitioner Male Practitioner

Dr. Michael Jonathan Carlson , MD

Orthopaedic Surgery • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Carlson, MD is a certified Orthopaedic Surgery practicing in Provo, UT. With approximately 20 years of clinical experience since graduating from Medical College Of Wisconsin in 2006, Dr. Carlson delivers high-quality medical care to the local community at 1055 N 500 W.

Dr. Carlson is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 N 500 W
Ste 121

Provo, UT 846043305

Telephone 8013737350

Fax 8018125401

Associated Practice Facility / Clinic

🏢 No Roll Up Timpanogos Llc Facility NPI 1831153840

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Provo, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -3.0 yrs vs City Avg

City Avg: 23.0 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

26 Specialists

Practicing in Provo, UT (277 Statewide)

Telehealth Adoption Rate

3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carlson (20 Years) 20 Yrs

Provo Specialty Average (23.0 Years) 23.0 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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	201	29	$3.00	$0.97
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$152.62	$85.94
73030 X-ray of shoulder, minimum of 2 views	29	27	$102.86	$32.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$215.65	$121.68
20610 Aspiration and/or injection of fluid from large joint	21	16	$190.00	$64.26
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	20	17	$254.40	$103.00
73010 X-ray of shoulder blade	19	18	$71.00	$22.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$187.75	$101.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$282.00	$158.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	304	45	$3.00	$1.08
99213 Established patient office or other outpatient visit, typically 15 minutes	53	36	$149.89	$85.84
73030 X-ray of shoulder, minimum of 2 views	49	36	$100.96	$32.53
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	33	24	$252.12	$104.74
20610 Aspiration and/or injection of fluid from large joint	29	24	$166.76	$58.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$186.00	$106.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$94.00	$53.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$211.50	$114.07
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$1422.00	$154.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	214	34	$3.19	$1.12
99213 Established patient office or other outpatient visit, typically 15 minutes	45	37	$147.89	$86.23
73030 X-ray of shoulder, minimum of 2 views	32	24	$94.31	$31.28
20610 Aspiration and/or injection of fluid from large joint	22	19	$176.86	$62.25
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	21	16	$241.19	$104.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$91.89	$54.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$187.00	$107.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	364	44	$4.82	$1.27
99213 Established patient office or other outpatient visit, typically 15 minutes	75	57	$146.84	$87.82
20610 Aspiration and/or injection of fluid from large joint	48	34	$181.69	$62.62
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	37	25	$230.11	$101.92
73030 X-ray of shoulder, minimum of 2 views	33	32	$92.48	$29.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	21	$90.67	$52.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$207.50	$125.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$184.87	$108.43
29827 Repair of shoulder rotator cuff using an endoscope	13	12	$2353.00	$1013.66
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$1367.92	$169.87
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$1480.00	$284.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	360	46	$3.00	$1.48
99213 Established patient office or other outpatient visit, typically 15 minutes	53	39	$134.09	$72.82
20610 Aspiration and/or injection of fluid from large joint	42	24	$197.14	$64.14
73030 X-ray of shoulder, minimum of 2 views	39	26	$79.41	$27.06
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	36	24	$230.89	$100.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	34	$81.53	$43.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$194.95	$105.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$194.20	$104.51
73010 X-ray of shoulder blade	15	11	$80.00	$25.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	528	62	$3.00	$1.56
20610 Aspiration and/or injection of fluid from large joint	68	39	$221.56	$68.52
99213 Established patient office or other outpatient visit, typically 15 minutes	62	50	$122.85	$71.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	40	$73.90	$43.78
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	40	29	$215.85	$90.30
73030 X-ray of shoulder, minimum of 2 views	31	26	$80.26	$26.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$181.83	$103.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$182.79	$106.63
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$2356.31	$1010.13
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$1462.83	$170.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	637	77	$3.00	$1.74
20610 Aspiration and/or injection of fluid from large joint	110	57	$204.71	$64.26
99213 Established patient office or other outpatient visit, typically 15 minutes	97	76	$122.00	$67.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	49	$72.00	$41.81
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	45	32	$188.00	$83.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$181.00	$105.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$180.00	$101.36
73030 X-ray of shoulder, minimum of 2 views	27	25	$81.00	$25.16
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	14	12	$1412.00	$179.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	745	96	$3.00	$1.79
20610 Aspiration and/or injection of fluid from large joint	185	81	$169.63	$53.24
99213 Established patient office or other outpatient visit, typically 15 minutes	122	78	$116.00	$69.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	57	$69.00	$41.87
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	37	26	$187.00	$87.87
73030 X-ray of shoulder, minimum of 2 views	35	25	$76.97	$25.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$172.00	$102.81
73502 X-ray of hip, 2-3 views	34	21	$94.71	$32.46
73564 X-ray of knee, 4 or more views	32	27	$109.00	$37.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$170.00	$91.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$222.00	$135.12
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$1324.00	$159.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$262.00	$147.23

Medical Specialties & State Licenses

CMS Verified: 2020-08-25

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License UT 8283131-1205

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License NE 5477

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License CA A114736

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8014298000

Practice Associates & Co-Workers

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

35 Associated Practitioners

Dr. Scott Evans , MD

Orthopaedic Surgery - Hand Surgery

NPI 1033435045

Doctor of Medicine (M.D.)

Dr. Evan Nielsen , MD

Orthopaedic Surgery

NPI 1043527260

Doctor of Medicine (M.D.)

Zachary Golden , PA

Physician Assistant

NPI 1053856542

Physician Assistant

Dr. Bradford Matthews , MD

Orthopaedic Surgery

NPI 1063523959

Doctor of Medicine (M.D.)

Eric Leach , PA-C

Physician Assistant

NPI 1124068739

Physician Assistant (Certified)

Dr. Jeffrey Wallentine , MD

Orthopaedic Surgery

NPI 1124121934

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2023

Orthopaedic Surgery (License #5477 in NE)

📍

Updated Business Mailing Address October 18, 2018

Registered at 1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

✅

NPI Profile Active November 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location November 13, 2014

Registered at 1055 N 500 W, STE 121, PROVO, UT 846043305 (Tel: 8013737350)

📍

Updated Business Mailing Address November 13, 2014

Registered at 1055 N 500 W, PROVO, UT 846043305 (Tel: 8013737350)

👤

Provider Name / Credentials Updated November 13, 2014

Recorded as MICHAEL CARLSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2014

Orthopaedic Surgery (License #8283131-1205 in UT)

🟢

Initial NPI Registration & Enumeration April 26, 2007

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: 1407076193

Entity Type:

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

Enumeration Date: April 26, 2007

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Attn: Credentialing

Provo, UT 846043305

Phone: 8013548225

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.