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Active NPI 1093749640 Individual Practitioner Male Practitioner

Dr. Keith Cameron Carlson , MD

Dermatology • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Dr. Keith Carlson, MD is a registered healthcare professional specializing in Dermatology in Bellevue, WA. Practice services are available at 11511 NE 10TH ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11511 Ne 10th St

Bellevue, WA 980048578

Telephone 4255023000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.1 Yrs
State Avg: 19.7 Yrs
Regional Practice Density
32 Specialists

Practicing in Bellevue, WA (397 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.0% 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 (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $222.93 $64.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $331.64 $73.81

Medical Specialties & State Licenses

CMS Verified: 2021-03-31
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD60650552

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medical Ppin #
00G501320 (CA)

Secondary Practice Locations

200 Medical Plaza, #450

Los Angeles, CA 90095

Phone: 3108250631

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Patsy Lazarous , MD

Internal Medicine

NPI 1013070473

Doctor of Medicine (M.D.)

Dr. Salma Gharib , MD

Emergency Medicine - Emergency Medical Services

NPI 1013130327

Doctor of Medicine (M.D.)

Paula Lins , PA-C

Physician Assistant

NPI 1013933423

Physician Assistant (Certified)

Sarah Procko , CNM

Advanced Practice Midwife

NPI 1023489002

Certified Nurse Midwife

Dr. Bennet Wang , MD

Internal Medicine - Pulmonary Disease

NPI 1033260815

Doctor of Medicine (M.D.)

Dr. Bryn Smith , MD

Obstetrics & Gynecology

NPI 1043846843

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location March 31, 2021

Registered at 11511 NE 10TH ST, BELLEVUE, WA 980048578 (Tel: 4255023000)

NPI Profile Active January 28, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 28, 2017

Registered at 11511 NE 10TH ST, BELLEVUE MEDICAL CENTER, BELLEVUE, WA 98004 (Tel: 4255023000)

📍
Updated Practice Location January 28, 2017

Registered at 200 MEDICAL PLAZA, #450, LOS ANGELES, CA 90095 (Tel: 3108250631)

👤
Provider Name / Credentials Updated January 28, 2017

Recorded as KEITH CARLSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2017

Dermatology (License #MD60650552 in WA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 200 MEDICAL PLAZA, #450, LOS ANGELES, CA 90095 (Tel: 3108250631)

📍
Updated Business Mailing Address July 08, 2007

Registered at FILE #55737, LOS ANGELES, CA 90074 (Tel: 3103018708)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KEITH CARLSON, MD

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

Dermatology (License #G50132 in CA)

🟢
Initial NPI Registration & Enumeration July 10, 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: 1093749640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2006
Last Update: March 31, 2021
Sole Proprietor: No

Mailing Address

11511 Ne 10th St, Bellevue Medical Center

Bellevue, WA 98004

Phone: 4255023000

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.