Richard Carlson
NPI 1396035994 · Psychiatry Physician · Spokane, WA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Richard Carlson is a Psychiatry Physician provider in Spokane, WA (NPI 1396035994).
Provider details
- NPI number
- 1396035994
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
210 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 118 | $77 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 53 | $116 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 14 | $168 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 13 | $168 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 12 | $117 |
Typical Medicare-allowed amounts for these services range $77–$168 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-15
- Last updated
- 2016-07-18
Frequently asked questions
- What is Richard Carlson's NPI number?
- Richard Carlson's National Provider Identifier (NPI) is 1396035994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Richard Carlson's specialty?
- Richard Carlson is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Richard Carlson located?
- Richard Carlson's practice location on file with NPPES is 104 W 5th Ave, Spokane, WA 99204-4880.
- What is Richard Carlson's phone number?
- The practice phone number listed in the NPPES registry for Richard Carlson is (509) 624-2313.
- Does Richard Carlson accept Medicare?
- Richard Carlson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Richard Carlson's NPI active?
- Yes — Richard Carlson's NPI (1396035994) is active in the NPPES registry as of the last update on 2016-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.