2026 NPPES data Pediatric Optometrist NPI 1265799027 O.D.
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MATTHEW CARLSON, O.D.

Pediatric Optometrist in SEATTLE, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
18
Medicare Part D claims · 13 beneficiaries · Pediatric Optometrist avg: 184
What the federal data reveals: MATTHEW CARLSON, O.D. is a Pediatric Optometrist ([object Object]) practicing in SEATTLE, Washington with a Medicare Part D prescribing footprint of 18 claims across 13 beneficiaries .

What stands out: MATTHEW CARLSON, O.D. filed 18 Medicare Part D claims in 2023 across SEATTLE, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MATTHEW CARLSON, O.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/18/2012

NPI 1265799027

Primary specialty

Pediatric Optometrist

Rare

316 US NPIs in this specialty

Medicare Part D claims

18 90% vs specialty avg

2023 prescription claims

Specialty avg: 184

Specialty distribution in Washington

How Pediatric Optometrist compares to other specialties among Washington providers

Washington providers

Pediatric Optometrist share within Washington

1. Pediatric Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Optometrist share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Optometrist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Optometrist ABMS/AOA estimate

Est. board-certified rate (Pediatric Optometrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Optometrist) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MATTHEW CARLSON, O.D. is a Pediatric Optometrist provider practicing in SEATTLE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1265799027. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MATTHEW CARLSON, O.D. appears in the CMS NPPES registry as a Pediatric Optometrist provider holding O.D. credentials at 2501 N 45TH ST, SEATTLE, WA, 98103, with a listed phone of (206) 526-5222. NPI 1265799027 was issued on 04/18/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARLSON most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 18 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $606 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Optometrist is a narrow specialty nationwide, with 316 enrolled providers across 43 states and an average of 184 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2501 N 45TH ST
SEATTLE, WA 98103

Provider Details

NPI 1265799027
Specialty Pediatric Optometrist
Credentials O.D.
Gender Male
NPI Issued 04/18/2012

Hospital and facility affiliations

Facilities where MATTHEW CARLSON, O.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PUGET SOUND EYE CARE
SEATTLE, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to MATTHEW CARLSON, O.D.. To verify MATTHEW CARLSON, O.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

18
Total Claims
$606
Total Drug Cost
13
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18
Total Day Supply
212
Generic Drug Cost
$313

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
0.63
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A

Pediatric Optometrist Overview

How MATTHEW CARLSON, O.D. fits within the Pediatric Optometrist landscape nationally.

316
Pediatric Optometrist Providers in US
43
States with Pediatric Optometrist
184
Avg Claims per Provider

MATTHEW CARLSON, O.D.'s 18 claims are below the specialty average of 184.

Nearby Pediatric Optometrist Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as CARLSON.

Compare Pediatric Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW CARLSON, O.D.'s specialty?
MATTHEW CARLSON, O.D. specializes in Pediatric Optometrist and practices in SEATTLE, Washington. Credentials: O.D..
How much does MATTHEW CARLSON, O.D. prescribe under Medicare Part D?
In 2023, MATTHEW CARLSON, O.D. wrote 18 Medicare Part D claims totaling $606 in drug costs for 13 beneficiaries.
Where is MATTHEW CARLSON, O.D. located?
MATTHEW CARLSON, O.D. is located at 2501 N 45TH ST, SEATTLE, WA, 98103. Phone: (206) 526-5222.
What is MATTHEW CARLSON, O.D.'s NPI number?
MATTHEW CARLSON, O.D.'s National Provider Identifier (NPI) is 1265799027, issued on 04/18/2012.
How many Pediatric Optometrist providers are there in the US?
There are 316 Pediatric Optometrist providers across 43 states in the US. The average Pediatric Optometrist provider writes 184 Medicare Part D claims per year.
Does MATTHEW CARLSON, O.D. accept Medicare?
MATTHEW CARLSON, O.D. appears in CMS Medicare data with 18 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW CARLSON, O.D.'s credentials?
MATTHEW CARLSON, O.D.'s NPI is 1265799027 with credentials O.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology