Dr. Jerry Dale Carlson

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NPI Number Detailed Information

Provider Information:

Name:	Dr. Jerry Dale Carlson
Gender:	M
Provider License Number If Given:	5154950-9934

NPI Information:

NPI:	1982651287
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/30/2006
Last Update Date:	7/8/2007

Provider Business Mailing Address:

Address:	955 N MAIN ST Spanish Fork, UT 84660
Phone Number:	8017983557
Fax Number:

Provider Business Practice Location Address:

Address:	955 N MAIN ST Spanish Fork, UT 84660
Phone Number:	8017983557
Fax Number:

Provider Taxonomy:

Primary:	152W00000X
Secondary (if any):
State:	UT

Top Doctors in UT

About Dr. Jerry Dale Carlson

Dr. Jerry Dale Carlson (DR. JERRY DALE CARLSON ) is Doctors Optometrist Physician in Spanish Fork, UT. The NPI Number for Dr. Jerry Dale Carlson is 1982651287.

The current location address for Dr. Jerry Dale Carlson is 955 N MAIN ST Spanish Fork, UT 84660 and the contact number is 8017983557 and fax number is . The mailing address for Dr. Jerry Dale Carlson is 955 N MAIN ST Spanish Fork, UT 84660- 8017983557 (mailing address contact number - 8017983557).

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Jerry Dale Carlson ?

Answer: The NPI Number for Dr. Jerry Dale Carlson is 1982651287

Where is Dr. Jerry Dale Carlson located?

Answer: Dr. Jerry Dale Carlson is located at 955 N MAIN ST Spanish Fork, UT 84660.

What is the specialty for Dr. Jerry Dale Carlson ?

Answer: The Specialty of Dr. Jerry Dale Carlson is Doctors Optometrist Physician.

Are there any online reviews for Dr. Jerry Dale Carlson ?

Answer: Not yet!

Are there any other health care providers in Spanish Fork, UT?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Jerry Dale Carlson

Number of HCPCS	10
Number of Medicare Beneficiaries	97
Number of Services	123
Total Submitted Charge Amount	13435.85
Total Medicare Allowed Amount	12137.38
Total Medicare Payment Amount	8051.94
Total Medicare Standardized Payment Amount	9700.84
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	10
Number of Medicare Beneficiaries With Medical	97
Number of Medical Services	123
Total Medical Submitted Charge Amount	13435.85
Total Medical Medicare Allowed Amount	12137.38
Total Medical Medicare Payment Amount	8051.94
Total Medical Medicare Standardized Payment Amount	9700.84
Average Age of Beneficiaries	73
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	57
Number of Beneficiaries Age 75 to 84	28
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	61
Number of Male Beneficiaries	36
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.2
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression	0.11
Percent (%) of Beneficiaries Identified With Diabetes	0.19
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.39
Percent (%) of Beneficiaries Identified With Hypertension	0.48
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.2
Percent (%) of Beneficiaries Identified With Osteoporosis	0.13
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.38
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.7117

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Optometry
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	30
Number of Standardized 30-Day Fills	32
Aggregate Cost Paid for All Claims	266.28
Number of Day's Supply for All Claims	821
Number of Medicare Beneficiaries
Number of Claims, Including Refills, for Beneficiaries Age 65+	30
Including Refills, for Beneficiaries Age 65+	32
Beneficiaries Age 65+	266.28
Number of Day's Supply for All Claims for Beneficaries Age 65+	821
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	*
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	27
Aggregate Cost Paid for Generic Drugs	241.53
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	#
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst	*
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst	#
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	0
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	0
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	30
by Low-Income Subsidy	266.28
Total Claims of Opioid Drugs, Including	0
Aggregate Cost Paid for Opioid Drugs	0
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms	0
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	0
Aggregate Cost Paid for Antibiotic Drugs	0
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	73.625
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category	0.66225

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