Doctor profile · Federal record
Dr. Jack Carlisle, MD
Family Medicine Physician (CMS: Family Practice) · Grand Rapids, MN
- NPI 1326023060
- Accepts Medicare
- MIPS 87.7 / 100 · 2023
- 39 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1601 Golf Course RD
Grand Rapids, MN 557448648
(218) 326-5000
fax (218) 326-1461
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- February 12, 2013
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Minnesota #31750
- Medicaid
- MN #462700800
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1326023060. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
345
Distinct HCPCS
6
Medicare allowed
$33,129
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 119 | 63 | $64 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 97 | 69 | $95 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 53 | 53 | $129 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 51 | 47 | $139 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 14 | 12 | $77 | |
99239 |
Hospital discharge day management, more than 30 minutes | 11 | 11 | $112 |
In context: peer comparison
Among 11 peers in Grand Rapids Family Medicine Physician, average services per provider: 63. This provider delivers 5.5× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
2,811
Patients
717
Total drug cost
$57,319
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Lisinopril | Generic | 323 | 84 | $4,458 |
| Atorvastatin Calcium | Generic | 302 | 88 | $7,478 |
| Omeprazole | Generic | 284 | 78 | $5,328 |
| Gabapentin | Generic | 266 | 39 | $6,667 |
| Metoprolol Succinate | Generic | 262 | 66 | $7,794 |
| Hydrochlorothiazide | Generic | 182 | 54 | $988 |
| Losartan Potassium | Generic | 164 | 42 | $2,779 |
| Amlodipine Besylate | Generic | 162 | 44 | $1,973 |
| Rosuvastatin Calcium | Generic | 142 | 46 | $4,304 |
| Levothyroxine Sodium | Generic | 130 | 41 | $2,877 |
Hospital affiliations
Frequently asked questions
What is Dr. Jack Carlisle's medical specialty?
Dr. Jack Carlisle practices Family Medicine Physician in Grand Rapids, MN.
Where does Dr. Jack Carlisle practice?
Dr. Jack Carlisle practices at 1601 Golf Course RD, Grand Rapids, MN 557448648. Office phone: 2183265000.
What is Dr. Jack Carlisle's NPI?
Dr. Jack Carlisle's National Provider Identifier (NPI) is 1326023060, issued by NPPES.
Does Dr. Jack Carlisle accept Medicare assignment?
Yes. Dr. Jack Carlisle accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Carlisle commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.