Ross L Carlson , NP
Nurse Practitioner • Appleton, WI
1506 S Oneida St, Heart, Lung & Vascular Center
Appleton, WI 549151305
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 August 7, 2012; this date does not establish years in practice.
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Published CMS data list 138 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:
- 99213 — Established patient outpatient office visit: 31 service units.
- 99204 — New patient outpatient office visit: 29 service units.
- 22853 — Insertion of cage or mesh device to spine bone and disc space during spine fusion: 19 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 7 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 268 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:
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) — 59 prescription fills, including refills.
- Gabapentin — 54 prescription fills, including refills.
- Tizanidine Hcl — 50 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 8 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: 168. Middle half: 72 to 355.
Fewer Medicare Part B services than 60% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: 185. Middle half: 82 to 369.
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 154 in 2020 to 138 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1506 S Oneida St
Heart, Lung & Vascular Center
Appleton, WI 549151305
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 2 distinct group names: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis; The Neuroscience Group Of Northeast Wisconsin Sc. 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
2012
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
87 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 $11,768 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 $8,949 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
271 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
$1,901 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.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $23.86 in 2025
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 2025.
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 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
2012
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?”
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)
Ross 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 Ross 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 Appleton and Wisconsin
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: 168. Middle half: 72 to 355.
Fewer Medicare Part B services than 60% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: 185. Middle half: 82 to 369.
Medicare-allowed amount
Close to the middle for clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: $10,111. Middle half: $5,993 to $21,212.
Close to the middle for clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: $13,707. Middle half: $6,114 to $26,154.
Paid by Medicare
Close to the middle for clinicians listed under Nurse Practitioner in Appleton, WI (2024, 77 clinicians with data). Median for this group: $7,624. Middle half: $4,308 to $15,546.
Close to the middle for clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,072 clinicians with data). Median for this group: $10,011. Middle half: $4,480 to $19,097.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in Appleton, WI (2024, 88 clinicians with data). Median for this group: 456. Middle half: 90 to 1,100.
Close to the middle for clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: 327. Middle half: 90 to 1,325.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Appleton, WI (2024, 88 clinicians with data). Median for this group: $12,751. Middle half: $697 to $103,869.
A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Wisconsin (2024, 2,202 clinicians with data). Median for this group: $17,831. Middle half: $1,191 to $147,074.
155 active clinicians are listed under Nurse Practitioner with a practice address in Appleton, WI (3,995 in Wisconsin).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Appleton
6.5% of these 155 clinicians have the CMS telehealth indicator.
60.6% of these 155 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 decreased 10% from 154 in 2020 to 138 in 2024.
- 2020: 154
- 2021: 201
- 2022: 210
- 2023: 134
- 2024: 138
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $11,808 in 2020 and $11,768 in 2024.
- 2020: $11,808
- 2021: $18,354
- 2022: $18,109
- 2023: $11,894
- 2024: $11,768
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Paid by Medicare
Paid by Medicare varied from year to year: $8,174 in 2020 and $8,949 in 2024.
- 2020: $8,174
- 2021: $14,020
- 2022: $13,963
- 2023: $8,394
- 2024: $8,949
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 121% from 121 in 2020 to 268 in 2024.
- 2020: 121
- 2021: 203
- 2022: 248
- 2023: 266
- 2024: 268
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30-day fills
30-day fills increased 119% from 124 in 2020 to 271 in 2024.
- 2020: 124
- 2021: 204
- 2022: 251
- 2023: 268
- 2024: 271
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Part D drug cost
Part D drug cost increased 38% from $1,382 in 2020 to $1,901 in 2024.
- 2020: $1,382
- 2021: $1,630
- 2022: $2,488
- 2023: $1,709
- 2024: $1,901
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $8.07 in 2021 to $23.86 in 2025.
- 2021: $8.07
- 2022: $12.04
- 2025: $23.86
Sources: CMS Medicare Physician & Other Practitioners (2024), 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 · 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 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $23.86.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Sanofi and Genzyme US Companies |
Food and Beverage
In-kind items and services
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FABRAZYME | General | $23.86 |
Source: CMS Open Payments, program year 2025, 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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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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31 | 26 | $221.06 | $70.98 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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29 | 29 | $473.28 | $132.45 |
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22853
Insertion of cage or mesh device to spine bone and disc space during spine fusion
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19 | 14 | $2836.00 | $29.75 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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18 | 18 | $329.67 | $88.19 |
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72100
X-ray of lower and sacral spine, 2-3 views
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15 | 14 | $223.00 | $27.32 |
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22633
Fusion of spine in lower back with partial removal of spine bone and disc
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13 | 13 | $20006.00 | $213.64 |
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63052
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
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13 | 13 | $4978.00 | $29.78 |
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 |
|---|---|---|---|---|---|
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 59 | 358 | $701.76 | 38 |
| Gabapentin | Gabapentin | 54 | 1,683 | $277.34 | 22 |
| Tizanidine Hcl | Tizanidine Hcl | 50 | 640 | $177.95 | 32 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 44 | 359 | $502.80 | 19 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 20 | 265 | $68.00 | 14 |
| Tramadol Hcl | Tramadol Hcl | 19 | 183 | $52.78 | 11 |
| Prednisone | Prednisone | 11 | 55 | $21.02 | 11 |
| Celecoxib | Celecoxib | 11 | 330 | $99.75 | — |
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: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20120917000359
WI
6305094368
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
The Neuroscience Group Of Northeast Wisconsin Sc
1305 W American Dr, Neenah, WI 549561993
Phone: 8002011194
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
1821 S Webster Ave, Green Bay, WI 543012253
Phone: 9204964700
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Nurse Practitioner
Advanced Practice Nurse Prescriber
Nurse Practitioner - Family
Nurse Practitioner
Nurse Practitioner
Nurse Practitioner - Family
Advanced Practice Nurse Prescriber
Career & Practice History
NPI enumerated August 07, 2012.
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 Nurse Practitioners in Appleton
- Amy Emmer, MSN, APNP
- Molly Rasmussen Peeters, APNP
- Jade Jackson, APNP-C
- Chadbourne Walters, APNP
- Joanne Stephany, NP
- Samantha Burmeister
Mailing Address
1506 S Oneida St, Heart, Lung & Vascular Center
Appleton, WI 549151305
Phone: 9207306700