Mark Carlson, M.D.
NPI 1528192150 · Addiction Medicine (Internal Medicine) Physician · Springfield, MO
Enrolled with Medicare as Practitioner - Addiction Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Carlson, M.D. is a Addiction Medicine (Internal Medicine) Physician provider in Springfield, MO (NPI 1528192150).
Provider details
- NPI number
- 1528192150
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 101949 (MO)
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
282 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 184 | $61 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 98 | $33 |
Typical Medicare-allowed amounts for these services range $33–$61 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Buprenorphine Hcl | 365 | 51 |
| Oxycodone Hcl | 276 | 27 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 192 | 22 |
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 154 | 22 |
| Clonazepam | 110 | 14 |
| Methadone Hcl | 98 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-15
- Last updated
- 2018-10-12
Frequently asked questions
- What is Mark Carlson's NPI number?
- Mark Carlson's National Provider Identifier (NPI) is 1528192150, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Carlson's specialty?
- Mark Carlson is listed in the NPPES registry with a primary specialty of Addiction Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Carlson located?
- Mark Carlson's practice location on file with NPPES is 1423 N Jefferson Ave, Springfield, MO 65802-1917.
- What is Mark Carlson's phone number?
- The practice phone number listed in the NPPES registry for Mark Carlson is (417) 269-2273.
- Does Mark Carlson accept Medicare?
- Mark Carlson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Carlson's NPI active?
- Yes — Mark Carlson's NPI (1528192150) is active in the NPPES registry as of the last update on 2018-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.