Haley Carlson , PA-C
Physician Assistant โข Lancaster, OH
401 N Ewing St
Lancaster, OH 431303372
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on November 11, 2015; this date does not establish years in practice.
-
Published CMS data list 206 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99284 โ Emergency department visit with moderate level of medical decision making: 89 service units.
- 99285 โ Emergency department visit with high level of medical decision making: 74 service units.
- 99283 โ Emergency department visit with low level of medical decision making: 22 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 ยท Guide: How to read Medicare Part B data
-
Published CMS data list 807 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Jardiance (Empagliflozin) โ 79 prescription fills, including refills.
- Prednisone โ 75 prescription fills, including refills.
- Atorvastatin Calcium โ 64 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 34 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Lancaster, OH (2024, 13 clinicians with data). Median for this group: 216. Middle half: 153 to 859.
Close to the middle for Medicare Part B services among clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: 169. Middle half: 67 to 400.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 212 in 2023 to 206 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023โ2024.
Practice Location & Contact Primary Location
401 N Ewing St
Lancaster, OH 431303372
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
201 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 โ by Provider, 2024.
Medicare-allowed amount
About $23,932 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 โ by Provider and Service, 2024.
Paid by Medicare
About $17,400 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 โ by Provider and Service, 2024.
30-day fills
807 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
$48,748 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $31.15 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
NPI first issued
2015
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.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
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, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Haley 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 Haley 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 Lancaster and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Lancaster, OH (2024, 13 clinicians with data). Median for this group: 216. Middle half: 153 to 859.
Close to the middle for clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: 169. Middle half: 67 to 400.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Lancaster, OH (2024, 13 clinicians with data). Median for this group: $19,883. Middle half: $13,288 to $31,349.
A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $13,051. Middle half: $5,335 to $26,160.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Lancaster, OH (2024, 13 clinicians with data). Median for this group: $13,553. Middle half: $9,654 to $22,048.
A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $9,581. Middle half: $3,849 to $19,099.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Lancaster, OH (2024, 16 clinicians with data). Median for this group: 187. Middle half: 70 to 573.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: 212. Middle half: 71 to 708.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Lancaster, OH (2024, 16 clinicians with data). Median for this group: $4,562. Middle half: $392 to $55,847.
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Ohio (2024, 2,821 clinicians with data). Median for this group: $2,158. Middle half: $495 to $43,005.
25 active clinicians are listed under Physician Assistant with a practice address in Lancaster, OH (5,329 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lancaster
4% of these 25 clinicians have the CMS telehealth indicator.
60% of these 25 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.
-
Medicare Part B services
Medicare Part B services stayed about the same: 212 in 2023 and 206 in 2024.
- 2023: 212
- 2024: 206
-
Medicare-allowed amount
Medicare-allowed amount stayed about the same: $25,208 in 2023 and $23,932 in 2024.
- 2023: $25,208
- 2024: $23,932
-
Paid by Medicare
Paid by Medicare decreased 12% from $19,840 in 2023 to $17,400 in 2024.
- 2023: $19,840
- 2024: $17,400
-
Medicare Part D prescriptions
Medicare Part D prescriptions decreased 18% from 987 in 2020 to 807 in 2024.
- 2020: 987
- 2021: 3,936
- 2022: 6,122
- 2023: 1,513
- 2024: 807
-
30-day fills
30-day fills decreased 40% from 1,351 in 2020 to 807 in 2024.
- 2020: 1,351
- 2021: 5,696
- 2022: 8,303
- 2023: 1,783
- 2024: 807
-
Part D drug cost
Part D drug cost increased 42% from $34,391 in 2020 to $48,748 in 2024.
- 2020: $34,391
- 2021: $208,442
- 2022: $414,955
- 2023: $88,829
- 2024: $48,748
-
Industry payments (Open Payments)
Industry payments (Open Payments) went from $489.56 in 2021 to $31.15 in 2023.
- 2021: $489.56
- 2022: $712.43
- 2023: $31.15
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), 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
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $31.15.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
QULIPTA | General | $31.15 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ2023 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, 2023โ2024; 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 |
|---|---|---|---|---|
|
99284
Emergency department visit with moderate level of medical decision making
|
89 | 86 | $1118.21 | $96.53 |
|
99285
Emergency department visit with high level of medical decision making
|
74 | 74 | $1650.37 | $141.27 |
|
99283
Emergency department visit with low level of medical decision making
|
22 | 22 | $589.41 | $57.98 |
|
99291
Critical care, first 30-74 minutes
|
21 | 21 | $2128.64 | $171.97 |
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 |
|---|---|---|---|---|---|
| Jardiance | Empagliflozin | 79 | 1,106 | $24,185.46 | โ |
| Prednisone | Prednisone | 75 | 399 | $91.64 | 75 |
| Atorvastatin Calcium | Atorvastatin Calcium | 64 | 1,920 | $904.92 | โ |
| Basaglar Kwikpen U-100 | Insulin Glargine,hum.Rec.Anlog | 57 | 285 | $4,024.77 | โ |
| Cephalexin | Cephalexin | 50 | 386 | $326.26 | 50 |
| Metoprolol Succinate | Metoprolol Succinate | 36 | 1,080 | $618.15 | โ |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 35 | 83 | $69.85 | 34 |
| Myrbetriq | Mirabegron | 29 | 406 | $6,679.24 | โ |
| Levothyroxine Sodium | Levothyroxine Sodium | 25 | 750 | $396.66 | โ |
| Azithromycin | Azithromycin | 24 | 115 | $91.21 | 24 |
| Naproxen | Naproxen | 23 | 178 | $36.20 | 23 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 19 | 164 | $88.83 | 14 |
| Ondansetron Odt | Ondansetron | 18 | 105 | $96.58 | 18 |
| Valproic Acid | Valproic Acid (As Sodium Salt) | 16 | 368 | $781.85 | โ |
| Insulin Aspart Flexpen | Insulin Aspart | 16 | 240 | $528.96 | โ |
| Baclofen | Baclofen | 15 | 400 | $361.66 | โ |
| Methylprednisolone | Methylprednisolone | 15 | 90 | $82.14 | 15 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 15 | 120 | $40.02 | 14 |
| Metoprolol Tartrate | Metoprolol Tartrate | 14 | 420 | $66.67 | โ |
| Amlodipine Besylate | Amlodipine Besylate | 14 | 420 | $228.53 | โ |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 14 | 107 | $122.72 | 14 |
| Montelukast Sodium | Montelukast Sodium | 13 | 390 | $389.35 | โ |
| Isosorbide Mononitrate Er | Isosorbide Mononitrate | 12 | 360 | $80.60 | โ |
| Gabapentin | Gabapentin | 12 | 360 | $281.64 | โ |
| Meloxicam | Meloxicam | 12 | 360 | $97.68 | โ |
(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
Self-certified to NPPES: 2023-03-15NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20230411000327
OH
3779887674
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner - Acute Care
Certified Nurse Practitioner
Emergency Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Certified Nurse Practitioner
Emergency Medicine
Doctor of Medicine (M.D.)
Student in an Organized Health Care Education/Training Program
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 401 N EWING ST, LANCASTER, OH 431303372 (Tel: 7406878000)
Registered at 362 KELLS CT W, NEWARK, OH 430554045 (Tel: 7404073409)
Recorded as HALEY CARLSON, PA-C
Physician Assistant (license number reported to NPPES: OH 50.007893RX)
Registered at 765 FIFTH AVE SUITE C, CHAMBERSBURG, PA 172025805 (Tel: 7174460895)
Registered at 576 MEADOWVIEW CIRCLE, GREENCASTLE, PA 17225 (Tel: 7404073409)
Physician Assistant (license number reported to NPPES: PA MA057812)
NPI status registered as active in NPPES database
Registered at 114 SANDHILL DR, SUITE 101, MIDDLETOWN, DE 197095805 (Tel: 3023784779)
Registered at 114 SANDHILL DR, STE 101, MIDDLETOWN, DE 197095805 (Tel: 3023784779)
Recorded as HALEY SPARKS, PA-C
Physician Assistant (license number reported to NPPES: DE C5-0001022)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Lancaster
- Jacob Hausch
- Micayla Zeltman, PA-C
- Matthew Kessler, PA-C
- Kevin Bates, PA-C
- Chelsea Decker
- Emily Mcculloch
Mailing Address
362 Kells Ct W
Newark, OH 430554045
Phone: 7404073409