Dr. Scott Carlson , MD
Pediatrics • Cincinnati, OH
234 Goodman St., Ml 665x, Hoxworth Medicine-Pediatrics Clinic
Cincinnati, OH 45219
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on April 13, 2010; this date does not establish years in practice.
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Published CMS data list 458 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 — Established patient outpatient office visit: 304 service units.
- G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 98 service units.
- 83036 — Hemoglobin a1c level: 36 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 4,648 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium — 452 prescription fills, including refills.
- Lisinopril — 277 prescription fills, including refills.
- Amlodipine Besylate — 263 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 85 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Pediatrics in Ohio (2024, 32 clinicians with data). Median for this group: 129. Middle half: 57 to 322.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 506 in 2020 to 458 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
234 Goodman St., Ml 665x
Hoxworth Medicine-Pediatrics Clinic
Cincinnati, OH 45219
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Mount Carmel Healthproviders 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
University Of Cincinnati College Of Medicine
2010
What Public CMS Data Show
Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
153 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $50,572 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 – by Provider and Service, 2024.
Paid by Medicare
About $36,674 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 – by Provider and Service, 2024.
30-day fills
11,871 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
$398,057 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $75.55 across 3 records.
By nature of payment
- Food and Beverage: $75.55 across 3 records.
Reporting-company totals
- ABBVIE INC.: $60.35 across 2 records.
- Eli Lilly and Company: $15.20 across 1 record.
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.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
16 years (graduated 2010)
CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2010
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
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.
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.
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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Cincinnati and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Pediatrics in Ohio (2024, 32 clinicians with data). Median for this group: 129. Middle half: 57 to 322.
Too few clinicians listed under Pediatrics in Cincinnati have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Pediatrics in Ohio (2024, 32 clinicians with data). Median for this group: $11,283. Middle half: $5,781 to $26,738.
Too few clinicians listed under Pediatrics in Cincinnati have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 80% of clinicians listed under Pediatrics in Ohio (2024, 32 clinicians with data). Median for this group: $8,847. Middle half: $4,247 to $19,479.
Too few clinicians listed under Pediatrics in Cincinnati have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Pediatrics in Ohio (2024, 68 clinicians with data). Median for this group: 38. Middle half: 14 to 225.
Too few clinicians listed under Pediatrics in Cincinnati have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 95% of clinicians listed under Pediatrics in Ohio (2024, 68 clinicians with data). Median for this group: $4,202. Middle half: $613 to $36,088.
Too few clinicians listed under Pediatrics in Cincinnati have Medicare Part D data for 2024 to compare.
521 active clinicians are listed under Pediatrics with a practice address in Cincinnati, OH (2,972 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Cincinnati
0.4% of these 521 clinicians have the CMS telehealth indicator.
12.7% of these 521 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services stayed about the same: 506 in 2020 and 458 in 2024.
- 2020: 506
- 2021: 540
- 2022: 546
- 2023: 542
- 2024: 458
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Medicare-allowed amount
Medicare-allowed amount increased 15% from $44,134 in 2020 to $50,572 in 2024.
- 2020: $44,134
- 2021: $53,552
- 2022: $59,301
- 2023: $58,435
- 2024: $50,572
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Paid by Medicare
Paid by Medicare increased 21% from $30,282 in 2020 to $36,674 in 2024.
- 2020: $30,282
- 2021: $38,278
- 2022: $44,028
- 2023: $42,568
- 2024: $36,674
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 13% from 4,118 in 2020 to 4,648 in 2024.
- 2020: 4,118
- 2021: 4,550
- 2022: 4,574
- 2023: 4,844
- 2024: 4,648
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30-day fills
30-day fills increased 20% from 9,924 in 2020 to 11,871 in 2024.
- 2020: 9,924
- 2021: 11,471
- 2022: 11,448
- 2023: 12,338
- 2024: 11,871
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Part D drug cost
Part D drug cost increased 44% from $277,217 in 2020 to $398,057 in 2024.
- 2020: $277,217
- 2021: $341,377
- 2022: $336,562
- 2023: $402,862
- 2024: $398,057
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $321.08 in 2019 to $75.55 in 2024.
- 2019: $321.08
- 2020: $13.55
- 2023: $13.94
- 2024: $75.55
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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
Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $75.55.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
VRAYLAR | General | $34.54 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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UBRELVY | General | $25.81 |
| Eli Lilly and Company |
Food and Beverage
In-kind items and services
|
JARDIANCE | General | $15.20 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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 |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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304 | 145 | $282.00 | $121.05 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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98 | 98 | $287.00 | $119.59 |
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83036
Hemoglobin a1c level
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36 | 21 | $22.00 | $9.52 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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20 | 16 | $200.00 | $85.52 |
Source: CMS Part B by Provider and Service, 2024; 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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 452 | 39,792 | $5,336.79 | 126 |
| Lisinopril | Lisinopril | 277 | 24,301 | $1,457.47 | 78 |
| Amlodipine Besylate | Amlodipine Besylate | 263 | 22,852 | $1,234.68 | 77 |
| Losartan Potassium | Losartan Potassium | 216 | 19,311 | $1,974.76 | 67 |
| Hydrochlorothiazide | Hydrochlorothiazide | 168 | 15,100 | $610.63 | 49 |
| Levothyroxine Sodium | Levothyroxine Sodium | 158 | 12,359 | $2,836.92 | 40 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 156 | 13,198 | $2,559.67 | 51 |
| Gabapentin | Gabapentin | 143 | 7,634 | $2,748.73 | 33 |
| Omeprazole | Omeprazole | 130 | 10,814 | $1,605.71 | 43 |
| Metformin Hcl | Metformin Hcl | 112 | 9,304 | $1,125.09 | 33 |
| Carvedilol | Carvedilol | 101 | 8,190 | $1,411.28 | 27 |
| Sertraline Hcl | Sertraline Hcl | 95 | 7,860 | $787.04 | 25 |
| Trazodone Hcl | Trazodone Hcl | 89 | 6,510 | $583.40 | 23 |
| Tamsulosin Hcl | Tamsulosin Hcl | 84 | 7,560 | $1,862.06 | 30 |
| Metoprolol Succinate | Metoprolol Succinate | 79 | 5,968 | $1,049.11 | 23 |
| Furosemide | Furosemide | 74 | 5,786 | $360.04 | 24 |
| Pravastatin Sodium | Pravastatin Sodium | 72 | 6,300 | $1,436.75 | 19 |
| Metformin Hcl Er | Metformin Hcl | 71 | 6,063 | $964.12 | 22 |
| Spironolactone | Spironolactone | 70 | 5,520 | $844.81 | 25 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 69 | 1,507 | $1,272.08 | 20 |
| Eliquis | Apixaban | 67 | 4,110 | $73,729.92 | 17 |
| Pantoprazole Sodium | Pantoprazole Sodium | 61 | 5,530 | $1,024.91 | 19 |
| Lisinopril-Hydrochlorothiazide | Lisinopril/Hydrochlorothiazide | 58 | 4,740 | $306.29 | 17 |
| Fluticasone Propionate | Fluticasone Propionate | 57 | 3,590 | $968.24 | 19 |
| Potassium Chloride | Potassium Chloride | 57 | 4,920 | $2,001.24 | 21 |
(top 25 shown)
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
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PEDIATRIC MEDICINE
I20140602000690
OH
9032332572
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
Mount Carmel Healthproviders Inc
2150 Marble Cliff Office Park, Columbus, OH 432151056
Phone: 6146271640
Mount Carmel Healthproviders Inc
55 N High St, New Albany, OH 430547099
Phone: 6146271878
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Pediatrics - Pediatric Cardiology
Doctor of Medicine (M.D.)
Student in an Organized Health Care Education/Training Program
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated April 13, 2010.
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.
NPI Administrative Meta
Other Pediatrics Specialists in Cincinnati
- Dr. Catherine Bridges, MD
- Cindy Chang
- Dr. Susan Finney, MD
- Dr. Anjali Pearce, MD
- Dr. Lori Herbst, MD
- Dr. Eric Robinette, MD
Mailing Address
234 Goodman St., Ml 665x, Hoxworth Medicine-Pediatrics Clinic
Cincinnati, OH 45219
Phone: 5135847425