Matthew Carlson, MD
NPI 1528268463 · Gynecologic Oncology Physician · Mckinney, TX
Enrolled with Medicare as Practitioner - Gynecological Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Carlson, MD is a Gynecologic Oncology Physician provider in Mckinney, TX (NPI 1528268463).
Provider details
- NPI number
- 1528268463
- Entity type
- Individual
- Primary specialty
- Gynecologic Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- Q0740 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
197 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 88 | $122 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 49 | $121 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 31 | $173 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 16 | $211 |
| Removal of Uterus, Tubes, And/Or Ovaries Through Abdomen Using an Endoscope, 250.0 G Or Less58571 | 13 | $872 |
Typical Medicare-allowed amounts for these services range $121–$872 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ondansetronbrand: Ondansetron Odt | 21 | — |
| Tramadol Hcl | 19 | 16 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 17 | 12 |
| Estradiol | 14 | — |
| Oxycodone Hcl | 12 | — |
| Prednisone | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$9,986 across 9 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
Additional practice locations (1)
- 800 W Magnolia AveFort Worth, TX 76104-4611Phone: (817) 759-7000Fax: (817) 759-7027
Registry dates
- Enumerated
- 2007-07-19
- Last updated
- 2025-02-06
- Certified
- 2025-02-06
Frequently asked questions
- What is Matthew Carlson's NPI number?
- Matthew Carlson's National Provider Identifier (NPI) is 1528268463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Carlson's specialty?
- Matthew Carlson is listed in the NPPES registry with a primary specialty of Gynecologic Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Matthew Carlson located?
- Matthew Carlson's practice location on file with NPPES is 4201 Medical Center Dr Ste 180, Mckinney, TX 75069-1778.
- What is Matthew Carlson's phone number?
- The practice phone number listed in the NPPES registry for Matthew Carlson is (817) 759-7000.
- Does Matthew Carlson accept Medicare?
- Matthew Carlson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Carlson's NPI active?
- Yes — Matthew Carlson's NPI (1528268463) is active in the NPPES registry as of the last update on 2025-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.