James Carlson, D.O.
NPI 1518031475 · Family Medicine Physician · Cedar Lake, IN
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Carlson, D.O. is a Family Medicine Physician provider in Cedar Lake, IN (NPI 1518031475).
Provider details
- NPI number
- 1518031475
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 02004028A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,543 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 395 | $161 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 356 | $118 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 342 | $15 |
| Advance Care Planning, First 30 Minutes99497 | 185 | $76 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 180 | $120 |
| Insertion of Needle Into Vein for Collection of Blood Sample |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 130 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 789 | 108 |
| Alprazolam | 420 | 55 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 375 | 43 |
| Gabapentin | 374 | 70 |
| Atorvastatin Calcium | 324 | 96 |
| Levothyroxine Sodium | 308 | 77 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 2023-04-14
- Certified
- 2023-04-14
Frequently asked questions
- What is James Carlson's NPI number?
- James Carlson's National Provider Identifier (NPI) is 1518031475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Carlson's specialty?
- James Carlson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Carlson located?
- James Carlson's practice location on file with NPPES is 6831 W 133rd Ave, Cedar Lake, IN 46303-8989.
- What is James Carlson's phone number?
- The practice phone number listed in the NPPES registry for James Carlson is (219) 374-5970.
- Does James Carlson accept Medicare?
- James Carlson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Carlson's NPI active?
- Yes — James Carlson's NPI (1518031475) is active in the NPPES registry as of the last update on 2023-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.