Dr. Carl Jeffrey Carlson, MD

  • Fremont, CA
  • Cardiologist
NPI1386669489PAC ID1456403757
Medicare services, 2024
5,042
Medicare patients, 2024
773
Part D claims, 2024
3,239
MIPS score, 2024
22
Hospital affiliations
1
Practice address
2000 Mowry Ave, Fremont, CA 94538
Practice phone
Call (510) 797-1111
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Washington Health

Hospital · Fremont, California

See all 4 affiliations

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Dr. Carl Jeffrey Carlson is a cardiologist in Fremont, California

Dr. Carlson practices at Washington Health in Fremont, California, part of Washington Health.

Dr. Carlson's NPI, 1386669489, was assigned on July 12, 2006. Dr. Carlson graduated from Tufts University School Of Medicine in 1969. Dr. Carlson holds California license G29295.

NPI and contact details
Medicare PAC ID
1456403757
NPI enumeration date
July 12, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(510) 797-1111
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
83
Medical school graduation
1969

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Carl Jeffrey Carlson practices at Washington Health in Fremont, California

Dr. Carlson's primary practice is Washington Health, at 2000 Mowry Ave, Fremont, CA 94538 in Alameda County. The practice phone is (510) 797-1111.

  • Washington Health
    2000 Mowry Ave, Fremont, CA 94538 · Alameda CountyPhone(510) 797-1111

Source: Dmand AI Affiliation Data

Dr. Carl Jeffrey Carlson is affiliated with 3 sites of care and 1 medical group

Dr. Carlson's primary practice is Washington Health in Fremont, California, part of Washington Health. The medical group on file is California Cardiovascular Consultants and Medical Associates. Dmand AI also links Dr. Carlson to 1 more physician office and 1 group practice or clinic, each named with a free account. Dr. Carlson's employer is on file too: a hospital.

See all 4 affiliations for Dr. Carlson

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Carl Jeffrey Carlson's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Carlson practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Washington HealthAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Carl Jeffrey Carlson is one of 2,375 cardiologists in California

Cardiovascular disease is Dr. Carlson's primary specialty in the NPI Registry, under taxonomy code 207RC0000X. Dr. Carlson is board certified in cardiovascular disease by the American Board of Internal Medicine. Dr. Carlson is licensed in California.

Specialties and state licenses

  • Cardiovascular disease, CaliforniaPrimaryLicense G29295 · 1975 to 2027 · taxonomy 207RC0000X

Clinical focus

Dmand AI lists aneurysm, atrial fibrillation and flutter, cerebrovascular disease, chronic hypertension, coronary artery disease, deep vein thrombosis (DVT), heart failure and heart valve disorders among the conditions Dr. Carlson treats.

Cardiologists near Dr. Carlson

Counts of cardiologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Carl Jeffrey Carlson billed Medicare for 5,042 services in 2024

CMS data shows 5,042 Medicare services from Dr. Carlson across 12 procedure codes in 2024, for 773 Medicare patients. Medicare paid $220,581 for them.

Medicare services, 20245,042
Medicare patients773
Paid by Medicare$220,581
Procedure codes12

Dr. Carlson's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 4,6082024: 4,2338%
Tests and treatments
2023: 7572024: 8097%

Where Dr. Carlson's Medicare services took place, 2024

  • In an office4,44088%
  • In a facility60212%

Dr. Carlson compared with the California median for cardiologists, 2024

  • Dr. Carlson
  • California median
Medicare services
5,042vs 1,5603.2 times
Medicare patients
773vs 64420% above
Part D claims
2,755vs 1,41095% above

Medians across 2,237 cardiologists in California with Dmand AI profiles that report each measure.

Dr. Carlson's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Carlson

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Carl Jeffrey Carlson treated 773 Medicare patients in 2024, average age 78

CMS counts 773 Medicare patients who saw Dr. Carlson in 2024. The largest group is 75 to 84, with 278 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 35% are also on Medicaid. Their average risk score is 1.86, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Carlson's median patient age at 73, with 46% women.

Medicare patients, 2024773
Average age78
Average risk score1.86
Also on Medicaid35%

Dr. Carlson's Medicare patients by age, 2024

Dr. Carlson's Medicare patients by sex, 2024

  • Women43957%
  • Men33443%

Chronic conditions among Dr. Carlson's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis50%
  4. Ischemic heart disease47%
  5. Diabetes46%
  6. Chronic kidney disease40%
  7. Atrial fibrillation35%
  8. Heart failure33%

Share of Medicare patients with each condition. A patient can have several.

Dr. Carlson's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 73

Patient panel by sex, all payers

  • Women46%
  • Men51%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Carl Jeffrey Carlson wrote 3,239 Medicare Part D claims in 2024

In 2024, Dr. Carlson wrote 3,239 Medicare Part D claims for 276 patients. 80% of them were for generic drugs. CMS names the drug for 2,755 of them, across 60 drugs with 11 or more claims each, at $568,024 in total drug cost. In 2023, CMS named 2,767 claims across 62 drugs.

Part D claims, 20243,239
Drugs named by CMS60
Total drug cost$568,024
Part D patients276

Dr. Carlson's Part D claims by kind of drug, 2024

  • Generic2,586 claims80%
  • Brand-name and other653 claims20%

Dr. Carlson's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Carlson's Part D claims, 2024

  • Opioids1%18 of 3,239 claims
  • Antibiotics1%38 of 3,239 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2,7672024: 2,755No change

Drugs named by CMS: 60 in 2024, 62 in 2023.

See all prescribing by Dr. Carlson

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Carl Jeffrey Carlson scored 22 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 22 out of 100 for Dr. Carlson for performance year 2024, reported individually. Dr. Carlson accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Carlson as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Carlson's MIPS scores, performance year 2024

  • 22of 100Final score
  • 0of 100Quality
  • 0of 100Improvement Activities
  • 74of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Carl Jeffrey Carlson received $15,609 in industry payments from 2016 to 2025

CMS Open Payments shows 808 general payments to Dr. Carlson from 50 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 97% of the total. Amgen Inc. paid the most, $2,629.

General payments to Dr. Carlson by program year, 2016 to 2025

General payments to Dr. Carlson by kind, 2016 to 2025

$15.6Kin total
  • Food and beverage$15,17997%
  • Education$4303%

Companies that paid Dr. Carlson the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Carlson

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Carl Jeffrey Carlson has 2 awards and honors on record

Dmand AI lists 2 awards for Dr. Carlson.

Awards and honors for Dr. Carlson

  1. Undated
    • ACC Fellow
    • Checkbook Top Doc

Source: Dmand AI Professional Profile Data

Dr. Carl Jeffrey Carlson graduated from Tufts University School Of Medicine

Dr. Carlson graduated from Tufts University School Of Medicine in 1969. Dr. Carlson is a member of ACC.

  1. Medical schoolTufts University School Of Medicine
  2. Board certified in cardiovascular diseaseAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Carl Jeffrey Carlson accepts plans from 15 insurance carriers

Dr. Carlson is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Elevance
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • Alliant Health Plans
  • +7 more carriersWith a free account

Plan types Dr. Carlson accepts, by number of carriers

  1. PPO9
  2. Medicare7
  3. HMO6
  4. EPO4
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Dr. Carl Jeffrey Carlson's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Carl Jeffrey Carlson

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Carl Jeffrey Carlson's NPI number?

Dr. Carl Jeffrey Carlson's NPI number is 1386669489. It was assigned on July 12, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Carl Jeffrey Carlson?

Dr. Carl Jeffrey Carlson is a cardiologist in Fremont, California. The primary specialty in the NPI Registry is Cardiovascular Disease Physician (taxonomy code 207RC0000X).

Where does Dr. Carl Jeffrey Carlson practice?

Dr. Carlson practices at 2000 Mowry Ave, Fremont, CA 94538. Dr. Carlson's primary practice is Washington Health in Fremont, California, part of Washington Health. Dmand AI also links Dr. Carlson to 1 physician office and 1 group practice or clinic.

What is Dr. Carl Jeffrey Carlson's office phone number?

The practice phone on file for Dr. Carlson is (510) 797-1111.

What is Dr. Carl Jeffrey Carlson's medical license number?

Dr. Carlson holds California license G29295.

Which hospitals is Dr. Carl Jeffrey Carlson affiliated with?

Dr. Carlson practices at Washington Health in Fremont, California.

What medical group is Dr. Carl Jeffrey Carlson part of?

Dr. Carlson is linked to California Cardiovascular Consultants and Medical Associates.

Does Dr. Carl Jeffrey Carlson accept Medicare?

Yes. CMS data shows Dr. Carlson billed Medicare for 5,042 services in 2024, and Dr. Carlson accepts Medicare assignment.

Does Dr. Carl Jeffrey Carlson offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Carlson as offering telehealth services.

What is Dr. Carl Jeffrey Carlson's MIPS score?

Dr. Carlson's MIPS final score for performance year 2024 is 22 out of 100, reported individually.

Show 8 more questionsShow fewer questions

How many Medicare patients does Dr. Carl Jeffrey Carlson see?

CMS counts 773 Medicare patients who saw Dr. Carlson in 2024, with an average age of 78.

Is Dr. Carl Jeffrey Carlson board certified?

Yes. Dr. Carlson is board certified in cardiovascular disease by the American Board of Internal Medicine.

What services does Dr. Carl Jeffrey Carlson bill to Medicare?

In 2024, Dr. Carlson's most billed Medicare services were care management and other visits (99458), care management and other visits (99454) and care management and other visits (99457).

Where did Dr. Carl Jeffrey Carlson go to medical school?

Dr. Carlson graduated from Tufts University School Of Medicine in 1969.

What drugs does Dr. Carl Jeffrey Carlson prescribe most?

In 2024 Medicare Part D data, Dr. Carlson's most prescribed drugs by claims were Atorvastatin Calcium, Eliquis and Rosuvastatin Calcium.

Has Dr. Carl Jeffrey Carlson received payments from drug or device companies?

CMS Open Payments shows $15,609 in general payments to Dr. Carlson from 50 companies from 2016 to 2025. The largest total came from Amgen Inc.

How long has Dr. Carl Jeffrey Carlson been practicing?

Dr. Carlson graduated from medical school in 1969, 57 years ago.

What insurance does Dr. Carl Jeffrey Carlson accept?

Dr. Carlson is in network with 15 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

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