Doctor profile · Federal record
Dr. James Carlson, D.O.
Family Medicine Physician (CMS: Family Practice) · Cedar Lake, IN
- NPI 1518031475
- Accepts Medicare
- 33 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6831 W 133Rd Ave
Cedar Lake, IN 463038989
(219) 374-5970
fax (219) 374-7505 - Mailing address
-
Po Box 781076
Detroit, MI 482781076
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- April 14, 2023
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Indiana #02004028A
- Medicaid (2)
- IN #201079400 · NY #01826791
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1518031475. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,413
Distinct HCPCS
8
Medicare allowed
$183,144
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 488 | 102 | $163 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 420 | 240 | $120 | |
99497 |
Advance care planning, first 30 minutes | 220 | 220 | $79 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 203 | 203 | $123 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $157 | |
99496 |
Transitional care management services for problem of high complexity | 21 | 18 | $262 | |
G0008 |
Administration of influenza virus vaccine | 19 | 19 | $29 | |
90662 |
Influenza vaccine split virus, preservative free | 18 | 18 | $72 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 114. This provider delivers 12× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
4,278
Patients
879
Total drug cost
$80,623
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 763 | 103 | $26,586 |
| Alprazolam | Generic | 404 | 53 | $2,893 |
| Gabapentin | Generic | 388 | 72 | $6,980 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 325 | 47 | $14,374 |
| Levothyroxine Sodium | Generic | 301 | 78 | $4,164 |
| Atorvastatin Calcium | Generic | 279 | 88 | $2,643 |
| Amlodipine Besylate | Generic | 230 | 63 | $1,601 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 229 | 45 | $7,846 |
| Omeprazole | Generic | 224 | 60 | $2,729 |
| Lisinopril | Generic | 211 | 58 | $1,626 |
Hospital affiliations
Frequently asked questions
What is Dr. James Carlson's medical specialty?
Dr. James Carlson practices Family Medicine Physician in Cedar Lake, IN.
Where does Dr. James Carlson practice?
Dr. James Carlson practices at 6831 W 133Rd Ave, Cedar Lake, IN 463038989. Office phone: 2193745970.
What is Dr. James Carlson's NPI?
Dr. James Carlson's National Provider Identifier (NPI) is 1518031475, issued by NPPES.
Does Dr. James Carlson accept Medicare assignment?
Yes. Dr. James Carlson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Carlson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Established patient office or other outpatient visit (HCPCS 99214); Advance care planning (HCPCS 99497). Source: CMS Medicare Physician & Other Practitioners file.