2026 NPPES data Otolaryngology Physician NPI 1932142858 M.D.
Verify on CMS →

ROY CARLSON, M.D.

Otolaryngology Physician in MOUNT LAUREL, New Jersey. 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
357
Medicare Part D claims · 153 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
96.2516/100
▲ 13 pts above national avg 83.1 · [object Object]
What the federal data reveals: ROY CARLSON, M.D. is a Otolaryngology Physician ([object Object]) practicing in MOUNT LAUREL, New Jersey with a Medicare Part D prescribing footprint of 357 claims across 153 beneficiaries . Their CMS MIPS Final Score of 96.2516/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ROY CARLSON, M.D. reported a CMS MIPS final score of 96.2516 out of 100, above the 83.1 national average, and filed 357 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ROY CARLSON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ROY CARLSON, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/14/2006

NPI 1932142858

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

357 30% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

96.2516/100 13.151600000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Otolaryngology Physician compares to other specialties among New Jersey providers

New Jersey providers

Otolaryngology Physician share within New Jersey

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within New Jersey

Medicare quality performance — MIPS

ROY CARLSON, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
96.2516/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 96.2516/100 vs national avg 83.1

0%100%National avg83%96.3%
MIPS final score (Otolaryngology Physician) — 96.2516/100 vs national avg 83.1

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).

ROY CARLSON, M.D. is a Otolaryngology Physician provider practicing in MOUNT LAUREL, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1932142858. 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.

ROY CARLSON, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 204 ARK RD, MOUNT LAUREL, NJ, 08054, with a listed phone of (856) 602-4000. NPI 1932142858 was issued on 06/14/2006. 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 357 prescription claims written by this provider, covering 153 Medicare beneficiaries and totaling roughly $15K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.2516/100 for the 2023 performance year (Quality 93.1847), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

204 ARK RD
MOUNT LAUREL, NJ 08054

Provider Details

NPI 1932142858
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 06/14/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.2516
Final Score
Avg: 83.1
93.1847
Quality
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

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

357
Total Claims
$15K
Total Drug Cost
153
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
701
Total Day Supply
18,806
Generic Drug Cost
$9K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.19
Gender Split
57% female / 43% male
Age Distribution
<65: 12, 65-74: 60, 75-84: 56, 85+: 25

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Fluticasone Propionate
65
Prednisone
44
Ipratropium Bromide
35
Famotidine
34
Ofloxacin
29
Montelukast Sodium
25
Omeprazole
16
Scopolamine
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Otolaryngology Physician Overview

How ROY CARLSON, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

ROY CARLSON, M.D.'s 357 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in New Jersey

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROY CARLSON, M.D.'s specialty?
ROY CARLSON, M.D. specializes in Otolaryngology Physician and practices in MOUNT LAUREL, New Jersey. Credentials: M.D..
How much does ROY CARLSON, M.D. prescribe under Medicare Part D?
In 2023, ROY CARLSON, M.D. wrote 357 Medicare Part D claims totaling $15K in drug costs for 153 beneficiaries.
What is ROY CARLSON, M.D.'s Medicare quality score?
ROY CARLSON, M.D. has a CMS MIPS Final Score of 96.2516/100 (Quality: 93.1847). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROY CARLSON, M.D. located?
ROY CARLSON, M.D. is located at 204 ARK RD, MOUNT LAUREL, NJ, 08054. Phone: (856) 602-4000.
What is ROY CARLSON, M.D.'s NPI number?
ROY CARLSON, M.D.'s National Provider Identifier (NPI) is 1932142858, issued on 06/14/2006.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does ROY CARLSON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROY CARLSON, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Prednisone, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROY CARLSON, M.D. accept Medicare?
ROY CARLSON, M.D. appears in CMS Medicare data with 357 Part D claims and 153 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROY CARLSON, M.D.'s credentials?
ROY CARLSON, M.D.'s NPI is 1932142858 with credentials M.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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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