Carol Sue Carlson, MD
Physical Medicine & Rehabilitation Physician · Altoona, WI
Carol Sue Carlson, MD is a physical medicine & rehabilitation physician with a practice address in Altoona, Wisconsin, and NPI 1669634408, issued on Jul 1, 2008. Check the license (Wisconsin 54216-020, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Carol Sue Carlson
- Credential
- MD
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician 208100000X
- License number
- 54216-020 WI
Self-reported in NPPES; status is on the state search - Practice location
- 1200 Oakleaf Way Ste A, Altoona, WI 54720
- Phone
- (715) 832-1400
- Enumerated
- Jul 1, 2008
- Record last updated
- Jun 5, 2026
- Fax
- (715) 832-4187
- Medicare enrollment
- Enrolled (PECOS I20101202000314); accepts Medicare assignment
- Medical or professional school
- Albany Medical College Of Union University, 2005
- Entity
- Type 1 · individual
Also registered at 1200 Oakleaf Way Ste A
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Benjamin Anderson, NPFamily Nurse Practitioner1437111739
- Troy Berg, M.D.Orthopaedic Surgery Physician1740216845
- John Berschback, M.D.Surgery of the Hand (Surgery) Physician1720244288
- Jennifer Brayton, PA, ATC, LATPhysician Assistant1518094408
- Alexandra Burke, PA-CPhysician Assistant1093640674
- Eric Caporusso, DPMPodiatrist1366445587
Verify Carol Sue Carlson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 54216-020Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
49% more Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024
1,083 Medicare Part D claims for 303 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 15 claims were for opioids.
Most prescribed
- Gabapentin500 claims
- Pregabalin168 claims
- Celecoxib131 claims
- Meloxicam95 claims
- Duloxetine Hcl70 claims
- Tizanidine Hcl61 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 0 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $18.81
1 payment: food and beverage; the largest payer was Boston Scientific Corporation. The 3,895 providers of this specialty with any payment received $1,237.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Advantage Physical Therapy And Sports Rehab, LLCHayward, WI
- Chippewa Valley Orthopedics And Sports Medicine Clinic SCAltoona, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Physical Medicine & Rehabilitation Physician providers in Wisconsin
There are 321 physical medicine & rehabilitation physician records in Wisconsin.
Other physical medicine & rehabilitation physician records in Wisconsin
- Petra Abou Lhosn, MDMarshfield, WI1205451903
- Aruba AhmedGreenfield, WI1760945091
- Brianna Ahner, PT, DPTFox Point, WI1447036686
- Lisa Albanese, MDWoodruff, WI1245285923
- Joy Alderman, PTAElkhorn, WI1669348355
- Salman Aljilani, DOMilwaukee, WI1942704424
- Margaret Anderson, MDWausau, WI1275645855
- Marissa Anderson, DPT, PTLake Mills, WI1033950894
- Scott AndersonArcadia, WI1043767296
- Vicki Anderson, MDMilwaukee, WI1952461030
Common questions
What is Carol Sue Carlson, MD's NPI number?
Carol Sue Carlson, MD's National Provider Identifier (NPI) is 1669634408, issued on Jul 1, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Carol Sue Carlson, MD located?
The NPPES record lists a practice address at 1200 Oakleaf Way Ste A, Altoona, WI, 54720. Phone: (715) 832-1400. Providers update this record themselves, so call before visiting.
How can I verify Carol Sue Carlson, MD's license?
NPPES lists Wisconsin license number 54216-020, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Carol Sue Carlson, MD prescribe under Medicare Part D?
In 2024, Carol Sue Carlson, MD had 1,083 Medicare Part D claims for 303 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.
What is Carol Sue Carlson, MD's MIPS final score?
The 2023 MIPS final score is 0 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.