NPPES file of Aug 9, 2026

Jeffrey R. Carlson, MD

Orthopaedic Surgery of the Spine Physician · Newport News, VA

Jeffrey R. Carlson, MD is an orthopaedic surgery of the spine physician with a practice address in Newport News, Virginia, and NPI 1518029347, issued on Dec 15, 2006. Check the license (Virginia 0101059179, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1518029347
Name
Jeffrey R. Carlson
Credential
MD
Primary taxonomy
Orthopaedic Surgery of the Spine Physician 207XS0117X
License number
0101059179 VA
Self-reported in NPPES; status is on the state search
Practice location
250 Nat Turner Blvd S, Newport News, VA 23606
Phone
(757) 596-1900
Enumerated
Dec 15, 2006
Record last updated
Jan 12, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(866) 420-0168
Medicaid ID
6407188 VA
Medicare enrollment
Enrolled (PECOS I20091103000154); may accept Medicare assignment
Medical or professional school
George Washington University School Of Medicine, 1993
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 250 Nat Turner Blvd S

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jenny Andrus, M.D.Interventional Pain Medicine Physician1851461909
  2. John David Burrow, D.O.Orthopaedic Surgery Physician1316139256
  3. Martin Coleman, MDOrthopaedic Surgery Physician1114089935
  4. Lauren CopleyPhysician Assistant1902296510
  5. Boyd Haynes, MDOrthopaedic Surgery Physician1902968746
  6. Cody Leeworthy, DPTPhysical Therapist1386138824

Verify Jeffrey R. Carlson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101059179
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

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3.0 times the Medicare Part D claims of the average orthopaedic surgery of the spine physician in 2024

1,133 Medicare Part D claims for 432 beneficiaries, against an average of 381 among the 1,714 providers of this specialty who prescribed in Part D. 184 claims were for opioids.

  1. Jeffrey Carlson1,133
  2. Specialty average381

Most prescribed

  1. Celecoxib206 claims
  2. Meloxicam198 claims
  3. Cephalexin106 claims
  4. Cyclobenzaprine Hcl74 claims
  5. Amoxicillin73 claims
  6. Tizanidine Hcl55 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 practice group's MIPS final score for 2023 (Medicare payment program): 74 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score78.1
  2. Costout of 100 · 30%35.2
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $674.85

10 payments; by number, the most common kind was food and beverage; the largest payer was Globus Medical, Inc. The 1,726 providers of this specialty with any payment received $34,071.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Jeffrey Carlson$675
  2. Specialty average$34,072

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 4 group practices

  1. Comprehensive Rehab OF Wilson, Inc.Wilson, NC
  2. Orthopaedic Surgery And Sports Med Specialist OF Hampton Rds PCNewport News, VA
  3. Powerback Rehabilitation LLCFranklin, VA
  4. Proactive Therapy OF North Carolina IncAhoskie, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jeffrey R. Carlson among 47 orthopaedic surgery of the spine physician records in Virginia

Jeffrey R. Carlson, MD is one of 47 orthopaedic surgery of the spine physician records with a practice address in Virginia. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.

  • NPI issued2006 · 11% of these records are older, 36% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 70% of these records are
  • Graduated1993 · median 1998 among the 33 with a school on file
  • Record last updated2011 · 45% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0117X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery of the Spine Physician providers in Virginia

There are 47 orthopaedic surgery of the spine physician records in Virginia.

The 8 orthopaedic surgery of the spine physician records with the nearest ZIP codes

  1. Mark McFarland, DONewport News, VA 236061841352671
  2. Patrick Morrissey, M.D.Portsmouth, VA 237081184915787
  3. William Neway, D.O.Virginia Beach, VA 234541114125663
  4. Mark Kerner, M.D.Suffolk, VA 234351871516708
  5. Prakasam Kalluri, MDHopewell, VA 238601558365445
  6. Adam Crowl, MDRichmond, VA 232941457327652
  7. Edward Irby, M.D.Richmond, VA 232941144263666
  8. Sean Kelly, D.O.Richmond, VA 232261700205952

Common questions

What is Jeffrey R. Carlson, MD's NPI number?

Jeffrey R. Carlson, MD's National Provider Identifier (NPI) is 1518029347, issued on Dec 15, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Jeffrey R. Carlson, MD located?

The NPPES record lists a practice address at 250 Nat Turner Blvd S, Newport News, VA, 23606. Phone: (757) 596-1900. Providers update this record themselves, so call before visiting.

How can I verify Jeffrey R. Carlson, MD's license?

NPPES lists Virginia license number 0101059179, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Jeffrey R. Carlson, MD prescribe under Medicare Part D?

In 2024, Jeffrey R. Carlson, MD had 1,133 Medicare Part D claims for 432 beneficiaries; the average among orthopaedic surgery of the spine physician prescribers was 381. Part D covers Medicare prescriptions only.

What is Jeffrey R. Carlson, MD's MIPS final score?

The 2023 MIPS final score is 74 of 100, reported for the practice group. 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.