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Dr. Ryan Matthew Carlson , MD

Surgery โ€ข St. Paul, MN

Active NPI 1720221963 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

401 Phalen Blvd - Ms 41104a, Healthpartners Specialty Center 401
St. Paul, MN 551305302

Call 6512547980 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

401 Phalen Blvd - Ms 41104a
Healthpartners Specialty Center 401

St. Paul, MN 551305302

Telephone 6512547980
Fax 6512547969
Organization at the Same NPPES Address or Phone
Regions Hospital Facility NPI 1013951748

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Medical Affiliates Of Cape Cod Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Chicago, Pritzker School Of Medicine

Graduation Year

2006

Medicare-allowed amount

About $24,953 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $19,037 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

30-day fills

251 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,526 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,542.96 across 8 records.

By nature of payment

  • Education: $1,000.00 across 1 record.
  • Travel and Lodging: $337.37 across 2 records.
  • Food and Beverage: $205.59 across 5 records.

Reporting-company totals

  • INTUITIVE SURGICAL, INC.: $1,462.93 across 4 records.
  • Janssen Pharmaceuticals, Inc: $80.03 across 4 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

20 years (graduated 2006)

CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Carlson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Carlson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in St. Paul and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Surgery in Minnesota (2024, 302 clinicians with data). Median for this group: 49. Middle half: 25 to 93.

Too few clinicians listed under Surgery in St. Paul have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 80% of clinicians listed under Surgery in Minnesota (2024, 302 clinicians with data). Median for this group: $207. Middle half: $63 to $1,029.

Too few clinicians listed under Surgery in St. Paul have Medicare Part D data for 2024 to compare.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Carlson are from 2023.

10 active clinicians are listed under Surgery with a practice address in St. Paul, MN (742 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $1,542.96.

Manufacturer Payment Nature Product Type Amount ($)
INTUITIVE SURGICAL, INC.
Education
In-kind items and services
DAVINCI XI General $1,000.00
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $331.37
INTUITIVE SURGICAL, INC.
Food and Beverage
In-kind items and services
Da Vinci Surgical System General $125.56
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $22.05
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $21.81
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $18.31
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $17.86
INTUITIVE SURGICAL, INC.
Travel and Lodging
In-kind items and services
Da Vinci Surgical System General $6.00

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
28 23 $440.00 $126.10
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
24 24 $312.00 $89.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $575.00 $163.24
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
21 14 $131.00 $47.67
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito
20 20 $23.00 $4.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
17 17 $1103.84 $240.88
46600 Diagnostic exam of anus using an endoscope
13 12 $536.00 $121.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
13 13 $760.00 $215.17
44213 Partial release of large bowel and partial removal of large bowel using an endoscope
12 12 $809.00 $165.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
12 12 $620.00 $176.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
11 11 $672.00 $168.44

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ondansetron Hcl Ondansetron Hcl 54 61 $76.84 53
Metronidazole Metronidazole 37 46 $47.11 37
Neomycin Sulfate Neomycin Sulfate 37 69 $228.35 37
Methocarbamol Methocarbamol 34 268 $157.56 30
Gabapentin Gabapentin 26 263 $88.03 22
Gavilyte-G Peg3350/Sod Sulf,bicarb,cl/Kcl 24 30 $523.75 24
Ibuprofen Ibuprofen 16 222 $90.85 16
Gavilyte-C Peg3350/Sod Sulf,bicarb,cl/Kcl 12 13 $260.95 12
Hydroxyzine Pamoate Hydroxyzine Pamoate 11 68 $52.87 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES MN 51674

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20250228000229

Enrollment State Jurisdiction

MA

PECOS Control ID

6406003409

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Medical Affiliates Of Cape Cod Inc

27 Park St, Hyannis, MA 026015230

Phone: 5087711800

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

26 listed
NPI 1538314695

Doctor of Medicine (M.D.)

Dr. Joel Barbato , MD

Surgery - Vascular Surgery

NPI 1770663536

Doctor of Medicine (M.D.)

NPI 1750356622

Doctor of Medicine (M.D.)

NPI 1083930515

Doctor of Medicine (M.D.)

NPI 1902872708

MDMBA

Dr. Anne Boller , MD

Colon & Rectal Surgery

NPI 1538133038

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated April 17, 2009.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1720221963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2009
Last Update: December 23, 2015
Sole Proprietor: No

Other Surgery Specialists in St. Paul

Healthcare providers in St. Paul

Mailing Address

640 Jackson St, Ms 11502v

Saint Paul, MN 551012502

Phone: 6512547980

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.