DR. TIM PAUL CARLSON (MD) – Family Medicine Physician, NPI 1649380478

DR. TIM PAUL CARLSON (MD) is a healthcare provider. based in South pasadena, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME89730 (FL). The NPI Number for DR. TIM PAUL CARLSON (MD) is 1649380478

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIM PAUL CARLSON (MD)
NPI
1649380478
Phone
(727) 397-0606
Address
1615 PASADENA AVE S
Enumeration Date
30 August 2006
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7273970606
Graduation Year
2001 (25 years ago)
PAC ID
6901882927
Group Practice PAC ID
7416181920
Professional Enrollment ID
I20040629000502
Address ID
FL337074521ST1615XSXXX401
Telehealth
Yes

Contacts

Secure Messaging
TIMOTHY.CARLSON@hca4.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. TIM PAUL CARLSON (MD)

  • 1615, Pasadena Avenue South, Pasadena Isle, South Pasadena, Pinellas County, Florida, 33707, United States

    SUITE 430

    SOUTH PASADENA, FL 337074516

    Phone: (727) 397-0606

    Fax: (727) 397-6161

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $64.

Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: ABIOMED ($23).

Total Amount

$64

General + Research + Ownership

Payments

3

Total payment records

General Amount

$64

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040629000502IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes291210$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit173173$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10525$0
83036Hemoglobin a1c level3428$0
99213Established patient office or other outpatient visit, 20-29 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 33707)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416181920View full group profile
NameSpecialtyState
Family PracticeFL

Reviews

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Frequently asked questions

What NPI should I save for DR. TIM PAUL CARLSON (MD)?
Save NPI 1649380478 if you need a stable reference for DR. TIM PAUL CARLSON (MD).
Is DR. TIM PAUL CARLSON (MD) active in the national directory?
DR. TIM PAUL CARLSON (MD)'s public NPI profile is in an active state.
Does DR. TIM PAUL CARLSON (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. TIM PAUL CARLSON (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. TIM PAUL CARLSON (MD)?
We surface South Pasadena, Florida for DR. TIM PAUL CARLSON (MD) based on available NPPES addresses.
What if South Pasadena, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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