DR. NATHAN ALAN CARLSON (MD) – Trauma Surgery Physician, NPI 1639389653

DR. NATHAN ALAN CARLSON (MD) is a healthcare provider. based in Milwaukee, Wisconsin. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 63765 (GA). The NPI Number for DR. NATHAN ALAN CARLSON (MD) is 1639389653

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. NATHAN ALAN CARLSON (MD)
NPI
1639389653
Phone
(414) 805-8623
Address
9200 W WISCONSIN AVE
Enumeration Date
22 May 2007
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
4148053666
Graduation Year
2005 (21 years ago)
PAC ID
7113258641
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20191014002205
Address ID
WI532263548MI8701XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Digital endpointsOther names

848 GENERAL SURGERY in WI

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Provider Addresses for DR. NATHAN ALAN CARLSON (MD)

  • Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    MILWAUKEE, WI 532263522

    Phone: (414) 805-8623

    Fax: (414) 805-8641

    Type: Mailing

  • 9200 W Wisconsin Avenue

    Surgical Critical Care

    Milwaukee, WI 532263522

    Phone: (414) 855-6900

    Fax: (414) 955-0079

    Type: Location

  • 980 Johnson Fy Rd NE Ste 880

    Atlanta, GA 303421609

    Phone: (404) 255-8304

    Fax: (404) 256-4578

    Type: Location

  • 300 W Hospital Rd

    Eisenhower Army Medical Center Attn Credentials

    Fort Gordon, GA 309055741

    Phone: (706) 787-2720

    Type: Location

  • W180N8000 Town Hall Rd

    Menomonee Falls, WI 530514002

    Phone: (262) 255-2500

    Fax: (262) 253-9501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $760.

Total Amount is formed as General ($760) + Research ($0) + Ownership ($0) = $760.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($760).

Total Amount

$760

General + Research + Ownership

Payments

6

Total payment records

General Amount

$760

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$760
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: 2019-10-14

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
I20191014002205IGeneral SurgeryWITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2515$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 53226)

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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: 2668384371View full group profile

Reviews

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Frequently asked questions

Can I verify DR. NATHAN ALAN CARLSON (MD) with an NPI only?
You can start verification with NPI 1639389653 for DR. NATHAN ALAN CARLSON (MD), then check state licensing separately.
Does CMS list DR. NATHAN ALAN CARLSON (MD) as active?
Yes — DR. NATHAN ALAN CARLSON (MD) is active in the NPI listing used on this page.
What taxonomy line describes DR. NATHAN ALAN CARLSON (MD)?
For research purposes, treat DR. NATHAN ALAN CARLSON (MD) as Trauma Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. NATHAN ALAN CARLSON (MD)?
DR. NATHAN ALAN CARLSON (MD)'s geographic hint is Milwaukee, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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