JAMES RUSSELL CARLSTEN (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1376590794
Anatomic Pathology & Clinical Pathology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
111 PATHOLOGY in RI
Provider Addresses for JAMES RUSSELL CARLSTEN (MD)
360 Kingstown Rd Ste 202
Narragansett, RI 028823239
Phone: (401) 943-1300
Fax: (401) 228-7109
Type: Location
180, Shady Hill Drive, East Greenwich, Kent County, Rhode Island, 02818, United States
EAST GREENWICH, RI 028181404
Phone: (401) 885-0767
Type: Mailing
70, Kenyon Avenue, Wakefield, South Kingstown, South County, Rhode Island, 02879, United States
WAKEFIELD, RI 028794239
Phone: (401) 782-3803
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $7.
Total Amount is formed as General ($7) + Research ($0) + Ownership ($0) = $7.
Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Meridian Bioscience Inc. ($7).
Total Amount
$7
General + Research + Ownership
Payments
1
Total payment records
General Amount
$7
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Meridian Bioscience Inc. | $7 |
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: 2019-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061214000259 | I | Pathology | RI | TBD |
| I20100813000526 | I | Pathology | MA | TBD |
| I20190729002544 | I | Pathology | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,371 | 971 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 125 | 122 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 53 | 47 | $0 |
| 88300 | Pathology examination of tissue using a microscope, limited examination | 31 | 27 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 22 | 15 | $0 |
Insurance plans in this area (ZIP 02882)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | RI | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 42 | 36 |
| PATHOLOGY | RI | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 28 | 20 |
| PATHOLOGY | RI | 88342 | Tissue or cell analysis by immunologic technique | 63 | 57 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | RI | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | RI | |
| P A T H O L O G Y | RI | |
| P A T H O L O G Y | MA | |
| P A T H O L O G Y | MA | |
| P A T H O L O G Y | MD | |
| P A T H O L O G Y | RI | |
| P A T H O L O G Y | NY | |
| P A T H O L O G Y | RI |
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