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Ethan W. Carlson, MD

NPI 1265498588ActiveIndividual· Family Medicine· Baraboo, WI

Family Medicine (MD) in Baraboo, Wisconsin, trained at University of Iowa, Rj & L Carver College of Medicine (class of 1993). Their prescriptions cost Medicare Part D more than their services did: $520,611 for 6,278 claims, against $80,703 paid for services in 2024.

Overview

NPI1265498588
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedApr 25, 2006
Last updated in NPPESNov 4, 2020
Certified by providerNov 4, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X37699-020WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Family Practice (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients336
Services billed1,178 across 50 procedure codes
Paid by Medicare$80,703

Part D prescriptions in 2024

Prescriptions (claims)6,278 · 13,775 30-day fills
Patients374
Total drug cost$520,611
Generic share87% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Iowa, Rj & L Carver College of Medicine
Graduation year1993
Medicare specialtyFamily Practice
TelehealthOffers telehealth

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Family Medicine providers in Baraboo

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