Active NPI 1790032977 Individual Practitioner Male Practitioner

Ross L Carlson , NP

Nurse Practitioner • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ross Carlson, NP is a certified Nurse Practitioner practicing in Appleton, WI. With approximately 14 years of clinical experience since completing medical education in 2012, Ross Carlson delivers high-quality medical care to the local community at 1506 S ONEIDA ST.

Ross Carlson maintains professional affiliations with The Neuroscience Group Of Northeast Wisconsin Sc, St Vincent Hospital-Hospital Sisters-Third Order Of St Francis and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1506 S Oneida St
Heart, Lung & Vascular Center

Appleton, WI 549151305

Telephone 9207306700

Associated Practice Facility / Clinic

🏢 Ihc-St. Elizabeth Emergency Physicians, Llc Facility NPI 1851349674

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Appleton, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs +4.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

156 Specialists

Practicing in Appleton, WI (4030 Statewide)

Telehealth Adoption Rate

6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

98.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carlson (14 Years) 14 Yrs

Appleton Specialty Average (9.8 Years) 9.8 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
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$221.06	$70.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$473.28	$132.45
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	19	14	$2836.00	$29.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$329.67	$88.19
72100 X-ray of lower and sacral spine, 2-3 views	15	14	$223.00	$27.32
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	13	13	$4978.00	$29.78
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$20006.00	$213.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$311.90	$89.02
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$199.00	$72.47
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	24	16	$2836.00	$30.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$447.14	$132.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$295.00	$102.40
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	11	11	$4978.00	$30.29
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$20006.00	$216.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$435.00	$134.28
99213 Established patient office or other outpatient visit, typically 15 minutes	34	31	$199.00	$73.21
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	27	22	$2836.00	$30.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$300.00	$89.71
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$20006.00	$223.39
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	21	21	$4978.00	$30.67
22840 Placement of stabilizing device to back of 1 spine bone in neck	17	17	$8290.00	$90.32
72100 X-ray of lower and sacral spine, 2-3 views	17	15	$223.00	$27.83
72110 X-ray of lower and sacral spine, minimum of 4 views	12	12	$324.00	$34.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	38	27	$2836.00	$30.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$435.00	$133.04
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$199.00	$74.36
22633 Fusion of spine in lower back with partial removal of spine bone and disc	23	23	$20006.00	$227.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$300.00	$90.96
72100 X-ray of lower and sacral spine, 2-3 views	18	17	$223.00	$27.38
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$324.00	$36.26
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$9326.00	$92.51
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$8290.00	$92.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$300.00	$88.53
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	26	17	$2836.00	$32.40
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$199.00	$61.81
72110 X-ray of lower and sacral spine, minimum of 4 views	19	19	$324.00	$33.91
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$223.00	$25.64
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	13	$20006.00	$233.53
63056 Release of lower spinal cord and/or nerves	12	11	$10756.00	$93.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$300.00	$88.56
99213 Established patient office or other outpatient visit, typically 15 minutes	48	39	$199.00	$60.32
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	41	28	$2836.00	$32.47
72100 X-ray of lower and sacral spine, 2-3 views	37	30	$223.00	$24.24
63056 Release of lower spinal cord and/or nerves	24	24	$10756.00	$93.50
22633 Fusion of spine in lower back with partial removal of spine bone and disc	24	24	$20006.00	$233.73
22842 Placement of stabilizing device to back, 3-6 spine bone segments	13	13	$9326.00	$95.98
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$8290.00	$95.62
72110 X-ray of lower and sacral spine, minimum of 4 views	11	11	$324.00	$33.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$290.00	$87.09
99213 Established patient office or other outpatient visit, typically 15 minutes	49	43	$191.71	$59.39
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	42	32	$2765.90	$31.53
72100 X-ray of lower and sacral spine, 2-3 views	38	31	$223.00	$22.54
22633 Fusion of spine in lower back with partial removal of spine bone and disc	28	28	$20006.00	$230.47
63056 Release of lower spinal cord and/or nerves	28	28	$10756.00	$92.03
22840 Placement of stabilizing device to back of 1 spine bone in neck	20	20	$8290.00	$94.28
72110 X-ray of lower and sacral spine, minimum of 4 views	14	14	$324.00	$31.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$281.36	$87.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$290.00	$85.58
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	39	30	$2824.00	$32.72
63056 Release of lower spinal cord and/or nerves	29	29	$10756.00	$96.68
22633 Fusion of spine in lower back with partial removal of spine bone and disc	28	28	$20006.00	$234.11
22840 Placement of stabilizing device to back of 1 spine bone in neck	22	22	$8290.00	$92.34
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$223.00	$22.44

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 151971

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

The Neuroscience Group Of Northeast Wisconsin Sc

1305 W American Dr, Neenah, WI 549561993

Phone: 8002011194

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

1821 S Webster Ave, Green Bay, WI 543012253

Phone: 9204964700

Practice Associates & Co-Workers

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

15 Associated Practitioners

Rebecca Kloehn , NP

Nurse Practitioner - Family

NPI 1063044782

Nurse Practitioner

Marilyn Shutte , NP

Nurse Practitioner

NPI 1104812445

Nurse Practitioner

Dr. Patrick Obrien , MD

Internal Medicine - Cardiovascular Disease

NPI 1265427496

Doctor of Medicine (M.D.)

Dr. Kenneth Geller , MD

Internal Medicine - Cardiovascular Disease

NPI 1356335350

Doctor of Medicine (M.D.)

Daniel Zajicek , PA-C

Physician Assistant

NPI 1437146198

Physician Assistant (Certified)

Elena Fry Hansen , APNP

Nurse Practitioner

NPI 1528319761

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 07, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2012

Registered at 1506 S ONEIDA ST, HEART, LUNG & VASCULAR CENTER, APPLETON, WI 549151305 (Tel: 9207306700)

📍

Updated Business Mailing Address August 07, 2012

Registered at 1506 S ONEIDA ST, HEART, LUNG & VASCULAR CENTER, APPLETON, WI 549151305 (Tel: 9207306700)

👤

Provider Name / Credentials Updated August 07, 2012

Recorded as ROSS CARLSON, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2012

Nurse Practitioner (License #151971 in WI)

🟢

Initial NPI Registration & Enumeration August 07, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1790032977

Entity Type:

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

Enumeration Date: August 07, 2012

Last Update: August 07, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1506 S Oneida St, Heart, Lung & Vascular Center

Appleton, WI 549151305

Phone: 9207306700

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.