Doctor profile · Federal record

Dr. Adam Carlson, M.D.

Rheumatology Physician (CMS: Rheumatology) · Charlottesville, VA

  • NPI 1386878940
  • Accepts Medicare
  • MIPS 79.4 / 100 · 2023
  • 19 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
415 Ray C. Hunt Drive, Ste 2100
Charlottesville, VA 229030001
(434) 243-0223
fax (434) 244-7584
Additional location
1215 Lee St
Charlottesville, VA 229080001
(434) 924-0211
Mailing address
Po Box 9007
Charlottesville, VA 229069007

Credentials & registration

NPPES · NUCC
NPI registered
May 2009 — 17 yrs on file
Profile last updated
August 9, 2023
Year of graduation
2007 — 19 yrs since
Specialty taxonomy
207RR0500X — NUCC code
State license (1)
Virginia #0101256476

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1386878940. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
713
Distinct HCPCS
9
Medicare allowed
$63,498
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 389 235 $96
99213 Established patient office or other outpatient visit, 20-29 minutes 90 80 $65
20610 Aspiration and/or injection of fluid from large joint 71 41 $40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 68 30 $79
99215 Established patient office or other outpatient visit, 40-54 minutes 27 25 $138
99204 New patient office or other outpatient visit, 45-59 minutes 25 25 $127
99238 Hospital discharge day management, 30 minutes or less 16 16 $80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 15 15 $125
99205 New patient office or other outpatient visit, 60-74 minutes 12 12 $179

In context: peer comparison

Among 6 peers in this city , average services per provider: 109. This provider delivers 6.5× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,669
Patients
513
Total drug cost
$79,588
Drug Type Claims Patients Total cost
Prednisone Generic 350 109 $4,594
Hydroxychloroquine Sulfate Generic 232 77 $19,421
Methotrexate (Methotrexate Sodium) Brand 182 56 $9,472
Tramadol Hcl Generic 155 32 $1,214
Celecoxib Generic 144 53 $11,814
Duloxetine Hcl Generic 89 26 $2,463
Gabapentin Generic 75 25 $1,343
Alendronate Sodium Generic 70 25 $836
Allopurinol Generic 63 21 $1,249
Leucovorin Calcium Generic 61 11 $2,134

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Adam Carlson's medical specialty?
Dr. Adam Carlson practices Rheumatology Physician in Charlottesville, VA.
Where does Dr. Adam Carlson practice?
Dr. Adam Carlson practices at 415 Ray C. Hunt Drive, Charlottesville, VA 229030001. Office phone: 4342430223.
What is Dr. Adam Carlson's NPI?
Dr. Adam Carlson's National Provider Identifier (NPI) is 1386878940, issued by NPPES.
Does Dr. Adam Carlson accept Medicare assignment?
Yes. Dr. Adam Carlson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Adam Carlson commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Aspiration and/or injection of fluid from large joint (HCPCS 20610). Source: CMS Medicare Physician & Other Practitioners file.