Gary Carlson, MD
NPI 1497700116 · Internal Medicine Physician · Newport Beach, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gary Carlson, MD is a Internal Medicine Physician provider in Newport Beach, CA (NPI 1497700116).
Provider details
- NPI number
- 1497700116
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G80564 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,025 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 326 | $92 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 204 | $129 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 188 | $111 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 184 | $15 |
| Administration of Influenza Virus VaccineG0008 | 50 | $29 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 117 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 447 | 114 |
| Rosuvastatin Calcium | 390 | 116 |
| Levothyroxine Sodium | 343 | 81 |
| Lisinopril | 262 | 73 |
| Losartan Potassium | 262 | 69 |
| Amlodipine Besylate | 237 | 58 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,534 across 68 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2011-08-10
Frequently asked questions
- What is Gary Carlson's NPI number?
- Gary Carlson's National Provider Identifier (NPI) is 1497700116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Carlson's specialty?
- Gary Carlson is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gary Carlson located?
- Gary Carlson's practice location on file with NPPES is 520 Superior Ave, Newport Beach, CA 92663-3637.
- What is Gary Carlson's phone number?
- The practice phone number listed in the NPPES registry for Gary Carlson is (949) 722-3300.
- Does Gary Carlson accept Medicare?
- Gary Carlson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gary Carlson's NPI active?
- Yes — Gary Carlson's NPI (1497700116) is active in the NPPES registry as of the last update on 2011-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.