VERA B CARLSON (MD, PHD) – Family Medicine Physician, NPI 1023095585
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,137 FAMILY PRACTICE in UT
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Provider Addresses for VERA B CARLSON (MD, PHD)
North Gateway Drive, Providence, Cache County, Utah, United States
PROVIDENCE, UT 843329855
Phone: (435) 752-5553
Fax: (435) 755-5043
Type: Mailing
565 W 465 N STE 130
PROVIDENCE, UT 843324802
Phone: (435) 752-5553
Fax: (435) 755-5043
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-12-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051213000106 | I | Family Practice | UT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 173 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 123 | 36 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 91 | 12 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 40 | 13 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 38 | 25 | $0 |
Insurance plans in this area (ZIP 84332)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Physician Assistant | NV | |
| Internal Medicine, Hospitalist | UT | |
| Physician Assistant | KS | |
| Family Practice | WY | |
| Physician Assistant | WY | |
| Nurse Practitioner | UT | |
| P O D I A T R Y | UT | |
| Nurse Practitioner | WY | |
| Nurse Practitioner | UT |
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