James Edward Carlson, D.O.
NPI 1518031475ActiveIndividual· Family Medicine· Cedar Lake, IN
Family Medicine (D.O.) in Cedar Lake, Indiana, trained at New York College of Osteo Medicine of New York Institute of Technology (class of 1993). Their prescriptions cost Medicare Part D more than their services did: $634,833 for 10,202 claims, against $117,984 paid for services in 2024.
Overview
| NPI | 1518031475 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Apr 14, 2023 |
| Certified by provider | Apr 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 02004028A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 305 |
|---|---|
| Services billed | 1,688 across 26 procedure codes |
| Paid by Medicare | $117,984 |
Part D prescriptions in 2024
| Prescriptions (claims) | 10,202 · 19,721 30-day fills |
|---|---|
| Patients | 542 |
| Total drug cost | $634,833 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | New York College of Osteo Medicine of New York Institute of Technology |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Franciscan Physician NetworkShelbyville, IN · 1,170 clinicians
Hospital affiliations
- Community HospitalMunster, IN
- Franciscan Health Crown PointCrown Point, IN
- Franciscan Health DyerDyer, IN
- Franciscan Health MunsterMunster, IN
Other facilities
- Franciscan Home CareHome health agency · Hobart, IN
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 Cedar Lake
- 1033670385
- 1790767465
- 1720668957