JEFFREY O CARLSEN (MD) – Ophthalmology Physician, NPI 1609834076

JEFFREY O CARLSEN (MD) is a healthcare provider. based in Johnson city, Tennessee. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. MD38624 (TN). The NPI Number for JEFFREY O CARLSEN (MD) is 1609834076

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY O CARLSEN (MD)
NPI
1609834076
Phone
(423) 929-2111
Address
110 MED TECH PKWY
Enumeration Date
3 May 2006
Last Update Date
21 December 2009

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
4239292111
Graduation Year
1999 (27 years ago)
PAC ID
3678485703
Group Practice PAC ID
3375448681
Professional Enrollment ID
I20040922001038
Address ID
TN376044004JO110XXPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

429 OPHTHALMOLOGY in TN

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Provider Addresses for JEFFREY O CARLSEN (MD)

  • 110, Med Tech Parkway, Johnson City, Washington County, Tennessee, 37604, United States

    SUITE 1

    JOHNSON CITY, TN 376044004

    Phone: (423) 929-2111

    Fax: (423) 929-0497

    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 33 Open Payments records for all available years, with a total value of $876.

Total Amount is formed as General ($876) + Research ($0) + Ownership ($0) = $876.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($195).

Total Amount

$876

General + Research + Ownership

Payments

33

Total payment records

General Amount

$876

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2004-09-22

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
I20040922001038IOphthalmologyTNTBD

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
J0585Injection, onabotulinumtoxina, 1 unit1,83013$0
99214Established patient office or other outpatient visit, 30-39 minutes268234$0
92285Photography of content of eyes216210$0
92014Established patient complete exam of visual system202197$0
66984Removal of cataract with insertion of prosthetic lens20292$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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Provider's Procedures

JEFFREY O CARLSEN (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYTN92083Measurement of field of vision during daylight conditions8680

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: 3375448681View full group profile
NameSpecialtyState
-TN
O P H T H A L M O L O G YTN
O P T O M E T R YTN
O P T O M E T R YTN
O P H T H A L M O L O G YNC
O P H T H A L M O L O G YTN
-TN
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YTN
O P T O M E T R YTN

Reviews

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Frequently asked questions

What is the standard ID for JEFFREY O CARLSEN (MD) in the U.S.?
In the U.S., JEFFREY O CARLSEN (MD) is identified by NPI 1609834076.
Quick check: is JEFFREY O CARLSEN (MD) active?
Public NPPES data shows JEFFREY O CARLSEN (MD) with an active NPI status right now.
What services align with JEFFREY O CARLSEN (MD)'s listing?
JEFFREY O CARLSEN (MD)'s public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JEFFREY O CARLSEN (MD) in Johnson City, Tennessee?
For routing, start with Johnson City, Tennessee for JEFFREY O CARLSEN (MD), then verify phone and hours locally.
Can I export JEFFREY O CARLSEN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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