Melissa R Carlson, NP
Nurse Practitioner · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 4
- 1 carrier
- Office
- 1
Offices
1 location · Permanente Medical Group Inc · 10,928 clinicians in this group
Looking this up.
Hospitals listed: Kaiser Foundation Hospital-San Jose. That is not proof they admit you there this week.
Plans that list them
4 plans · 1 carrier
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Melissa R Carlson’s office at (408) 972-3000 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
| Kaiser Permanente Dual Complete North P2 (HMO D-SNP) | Kaiser Permanente | Listed | Sep 1, 2026 |
| Kaiser Permanente Dual Complete North P23 (HMO D-SNP) | Kaiser Permanente | Listed | Sep 1, 2026 |
| Kaiser Permanente Sr Adv Basic Santa Clara (HMO) | Kaiser Permanente | Listed | Sep 1, 2026 |
| Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO) | Kaiser Permanente | Listed | Sep 1, 2026 |
Hospitals they work in
1 hospital
These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.
- Kaiser Foundation Hospital-San JoseSan Jose, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Kaiser Permanente, which runs 41 hospitals in 3 statesPatients rate it 3 of 5 · 66% would definitely recommend itOverall rating: 3 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.258, Oct 2024 – Sep 2025
See every measure and the patient survey for Kaiser Foundation Hospital-San Jose
Behind the star rating — Deaths: 0 better, 3 the same, 0 worse of 3 measures. Safety: 1 better, 5 the same, 0 worse of 6 measures. Readmissions: 0 better, 2 the same, 0 worse of 2 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.
| Clostridium Difficile (C.Diff)Infections | 0.258 | Better | Oct 2024 – Sep 2025 |
| Abdominopelvic accidental puncture or laceration rateComplications and deaths | 1.3 (0.22 to 2.37) · 181 cases | No different | Jul 2022 – Jun 2024 |
| CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths | 0.89 (0.43 to 1.34) | No different | Jul 2022 – Jun 2024 |
| Death rate for pneumonia patientsComplications and deaths | 14.2 · 27 cases | None | Jul 2022 – Jun 2025 |
| Death rate for stroke patientsComplications and deaths | 11.6 · 271 cases | None | Jul 2023 – Jun 2025 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths | 3.8 · 2,952 cases | None | Jul 2024 – Jun 2025 |
| Iatrogenic pneumothorax rateComplications and deaths | 0.27 (0.04 to 0.5) · 894 cases | No different | Jul 2022 – Jun 2024 |
| In-hospital fall-associated fracture rateComplications and deaths | 0.26 (0.05 to 0.48) · 908 cases | No different | Jul 2022 – Jun 2024 |
| Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths | 3.19 (0.67 to 5.72) · 176 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative acute kidney injury requiring dialysis rateComplications and deaths | 1.63 (0 to 3.34) · 61 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative hemorrhage or hematoma rateComplications and deaths | 2.23 (0.53 to 3.92) · 168 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative respiratory failure rateComplications and deaths | 8.11 (0 to 17.58) · 68 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative sepsis rateComplications and deaths | 4.85 (0.67 to 9.03) · 63 cases | No different | Jul 2022 – Jun 2024 |
| Postoperative wound dehiscence rateComplications and deaths | 1.74 (0.22 to 3.26) · 51 cases | No different | Jul 2022 – Jun 2024 |
| Pressure ulcer rateComplications and deaths | 0.43 (0 to 1.53) · 630 cases | No different | Jul 2022 – Jun 2024 |
| Rate of complications for hip/knee replacement patientsComplications and deaths | 4 · 48 cases | None | Apr 2023 – Mar 2025 |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections | 1 | No different | Oct 2024 – Sep 2025 |
| Central Line Associated Bloodstream Infection (ICU + select Wards)Infections | 0.843 | No different | Oct 2024 – Sep 2025 |
| MRSA BacteremiaInfections | 0.88 | No different | Oct 2024 – Sep 2025 |
| SSI - Colon SurgeryInfections | 0.611 | No different | Oct 2024 – Sep 2025 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits | 15 · 171 cases | None | Jul 2023 – Jun 2025 |
| Heart failure (HF) 30-Day Readmission RateUnplanned return visits | 20.9 · 571 cases | None | Jul 2023 – Jun 2025 |
| Hospital return days for pneumonia patientsUnplanned return visits | 147.1 · 28 cases | None | Jul 2022 – Jun 2025 |
| Pneumonia (PN) 30-Day Readmission RateUnplanned return visits | 21 · 639 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission after hip/knee replacementUnplanned return visits | 5.6 · 48 cases | None | Jul 2023 – Jun 2025 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits | 19.7 · 157 cases | None | Jul 2023 – Jun 2025 |
What patients said (1,294 patients answered, 21% of those asked)
| Cleanliness | 4 |
| Nurse communication | 2 |
| Doctor communication | 4 |
| Communication about medicines | 2 |
| Discharge information | 3 |
| Overall hospital rating | 2 |
| Quietness | 1 |
| Recommend hospital | 3 |
| Room was "always" clean | 71% |
| Nurses "always" communicated well | 70% |
| Doctors "always" communicated well | 79% |
| Staff "always" explained | 54% |
| Yes, staff "did" give patients this information | 85% |
| Yes, staff "did" give patients information about help after discharge | 85% |
| Doctors "always" explained things so they could understand | 71% |
| Doctors "always" listened carefully | 79% |
| Doctors "always" treated them with courtesy and respect | 85% |
| Patients who gave a rating of "9" or "10" (high) | 61% |
| Staff "always" explained new medications | 67% |
| Nurses "always" explained things so they could understand | 67% |
| Nurses "always" listened carefully | 66% |
| Nurses "always" treated them with courtesy and respect | 78% |
| "Always" quiet at night | 37% |
| "YES", patients would definitely recommend the hospital | 66% |
| Staff "always" explained possible side effects | 41% |
| Yes, staff "did" give patients information about possible symptoms | 85% |
Original Medicare doctor bills
$5,296
Medicare paid this office $5,296 for 66 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with moderate level of medical decision making | 36 | $3,006 | $77 |
| Emergency department visit with low level of medical decision making | 27 | $1,433 | $48 |
Who their Medicare patients are
66 Original Medicare patients in 2024. Average age 66 · Under 65 32% · Women 53% · Also on Medicaid 83% · Health risk score 1.48. Above the middle of the specialty; the typical nurse practitioner clinician is at 1.42.
Conditions among them: High blood pressure 65% · Diabetes 27% · Depression 21% · Chronic kidney disease 18% · Atrial fibrillation 18%.
The office billed $64,236, Medicare allowed $7,283 and paid $5,296; for 82 services of 8 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 66 | 82 | 66 | 1.48 | $64,236 | $5,296 |
| 2023 | 104 | 124 | 65 | 1.73 | $94,911 | $8,305 |
| 2022 | 102 | 121 | 65 | 1.35 | $98,533 | $8,878 |
| 2021 | 124 | 154 | 66 | 1.58 | $139,279 | $13,239 |
| 2020 | 103 | 120 | 63 | 1.78 | $106,592 | $10,440 |
| 2019 | 166 | 276 | 67 | 1.86 | $147,531 | $17,944 |
| 2018 | 38 | 77 | 67 | 1.28 | $21,737 | $3,875 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 3 services
| Emergency department visit with moderate level of medical decision making | 54 | $5,114 | $87 |
| Emergency department visit with low level of medical decision making | 33 | $1,880 | $51 |
| Emergency department visit with straightforward medical decision making | 19 | $560 | $29 |
2022: 3 services
| Emergency department visit with low level of medical decision making | 62 | $3,671 | $53 |
| Emergency department visit with high level of medical decision making | 16 | $2,588 | $136 |
| Emergency department visit with moderate level of medical decision making | 28 | $2,362 | $84 |
2021: 3 services
| Emergency department visit with high level of medical decision making | 32 | $5,190 | $133 |
| Emergency department visit with low level of medical decision making | 55 | $3,388 | $56 |
| Emergency department visit with moderate level of medical decision making | 31 | $2,911 | $94 |
2020: 3 services
| Emergency department visit with high level of medical decision making | 31 | $4,569 | $127 |
| Emergency department visit with moderate level of medical decision making | 42 | $3,782 | $88 |
| Emergency department visit with low level of medical decision making | 32 | $1,806 | $50 |
2019: 5 services
| Emergency department visit with high level of medical decision making | 60 | $8,832 | $124 |
| Emergency department visit with moderate level of medical decision making | 72 | $6,190 | $86 |
| Emergency department visit with low level of medical decision making | 36 | $1,589 | $44 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 30 | $214 | $6 |
| X-ray of chest, 1 view | 15 | $106 | $7 |
2018: 2 services
| Emergency department visit with moderate level of medical decision making | 17 | $1,545 | $91 |
| Emergency department visit with low level of medical decision making | 16 | $810 | $51 |
Medicaid work
$92,787 in 2024
Medicaid paid $92,787 for 2,140 billed services this clinician did in 2024, up to 129 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| EMERGENCY DEPT VISIT MOD MDM | 481 | $31,499 |
| Service | 759 | $28,643 |
| Service | 166 | $14,685 |
| EMERGENCY DEPT VISIT LOW MDM | 193 | $6,431 |
| Service | 99 | $5,068 |
| Unlisted special service, procedure or report | 23 | $3,250 |
| Radiologic examination, chest; single view | 78 | $1,676 |
| SARSCOV CORONAVIRUS AG IA | 12 | $480 |
| COMPREHENSIVE METABOLIC PANEL | 106 | $316 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 29 | $298 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 118 | $228 |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique | 13 | $143 |
| 2024 | 2,140 | 15 | 129 | $92,787 |
| 2023 | 4,801 | 20 | 254 | $172,399 |
| 2022 | 3,266 | 19 | 109 | $184,044 |
| 2021 | 2,046 | 14 | 88 | $110,907 |
| 2020 | 1,243 | 16 | 100 | $52,863 |
| 2019 | 2,511 | 15 | 150 | $107,608 |
See the largest Medicaid services in earlier years
2023
| Unclassified drugs | 218 | $48,425 |
| Unlisted special service, procedure or report | 426 | $41,343 |
| Service | 1,562 | $39,665 |
| Service | 889 | $13,843 |
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 47 | $9,373 |
| Radiologic examination, chest; single view | 171 | $6,751 |
| SARSCOV CORONAVIRUS AG IA | 127 | $3,087 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | 65 | $2,569 |
| Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group A, amplified probe technique | 47 | $1,729 |
| EMERGENCY DEPT VISIT MOD MDM | 96 | $1,223 |
| COMPREHENSIVE METABOLIC PANEL | 313 | $1,129 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 60 | $829 |
2022
| Unlisted special service, procedure or report | 513 | $47,219 |
| Unclassified drugs | 208 | $46,755 |
| Service | 926 | $42,545 |
| SARSCOV CORONAVIRUS AG IA | 320 | $17,804 |
| Service | 462 | $9,438 |
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 52 | $9,145 |
| Radiologic examination, chest; single view | 150 | $3,817 |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Influenza, A or B, each | 107 | $1,785 |
| COMPREHENSIVE METABOLIC PANEL | 169 | $1,082 |
| Service | 28 | $952 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | 24 | $728 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 182 | $707 |
2021
| Unlisted special service, procedure or report | 427 | $36,040 |
| Service | 657 | $29,726 |
| Unclassified drugs | 68 | $14,750 |
| SARSCOV CORONAVIRUS AG IA | 130 | $9,450 |
| Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique | 76 | $8,237 |
| Service | 219 | $3,990 |
| Radiologic examination, chest; single view | 72 | $3,485 |
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 12 | $1,475 |
| 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 17 | $1,449 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 186 | $634 |
| COMPREHENSIVE METABOLIC PANEL | 114 | $613 |
| EMERGENCY DEPT VISIT LOW MDM | 28 | $571 |
2020
| Service | 629 | $32,913 |
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 40 | $5,605 |
| 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 31 | $3,194 |
| Radiologic examination, chest; single view | 88 | $3,108 |
| Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 29 | $2,950 |
| Unlisted special service, procedure or report | 34 | $2,065 |
| Service | 43 | $914 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 145 | $522 |
| COMPREHENSIVE METABOLIC PANEL | 69 | $380 |
| Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | 21 | $375 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 22 | $269 |
| Radiologic examination, chest; 2 views | 14 | $208 |
2019
| Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 209 | $42,185 |
| Service | 882 | $37,972 |
| COLLECTION VENOUS BLOOD VENIPUNCTURE | 87 | $11,505 |
| Unclassified drugs | 111 | $2,688 |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza | 49 | $2,642 |
| Radiologic examination, chest; single view | 87 | $2,588 |
| Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) | 377 | $1,496 |
| COMPREHENSIVE METABOLIC PANEL | 260 | $1,274 |
| Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Streptococcus, group A | 37 | $1,108 |
| Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy | 109 | $1,069 |
| Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 72 | $1,015 |
| Gonadotropin, chorionic (hCG); quantitative | 89 | $714 |
Drugs they prescribed that Part D paid
$1,301
Pharmacies billed $1,301 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
Opioids were 17% of their Part D prescriptions (19 of 112) in 2024. A higher opioid share than 9 in 10 peers; the typical nurse practitioner clinician is at 0%.
108 generic and fewer than 11 brand-name prescriptions · $1,301 in drug cost · 39 antibiotic prescriptions to 36 people.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Amoxicillin-Clavulanate Potass | 13 | $103 | $8 |
| Cephalexin | 14 | $85 | $6 |
Year by year
| 2024 | 112 | 86 | 17% (19) | None | $1,301 |
| 2023 | 108 | 81 | 20% (22) | None | $1,816 |
| 2022 | 87 | 65 | 21% (18) | None | $1,846 |
| 2021 | 80 | 65 | 30% (24) | None | $859 |
| 2020 | 89 | 56 | 30% (27) | None | $841 |
| 2019 | 109 | 84 | 22% (24) | 10% | $1,828 |
| 2018 | 363 | 227 | 6% (21) | 12% | $11,142 |
| 2017 | 248 | 164 | 4% (11) | 13% | $8,420 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 2 drugs
| Cephalexin | 16 | $191 | $12 |
| Hydrocodone-Acetaminophen | 20 | $114 | $6 |
2022: 1 drug
| Hydrocodone-Acetaminophen | 18 | $119 | $7 |
2021: 1 drug
| Hydrocodone-Acetaminophen | 22 | $133 | $6 |
2020: 1 drug
| Hydrocodone-Acetaminophen | 22 | $128 | $6 |
2019: 2 drugs
| Cephalexin | 22 | $115 | $5 |
| Hydrocodone-Acetaminophen | 20 | $98 | $5 |
2018: 7 drugs
| Azithromycin | 62 | $427 | $7 |
| Nitrofurantoin Mono-Macro | 21 | $311 | $15 |
| Cephalexin | 21 | $188 | $9 |
| Amoxicillin-Clavulanate Potass | 13 | $128 | $10 |
| Ciprofloxacin | 17 | $89 | $5 |
| Amoxicillin | 15 | $76 | $5 |
| Hydrocodone-Acetaminophen | 17 | $71 | $4 |
2017: 4 drugs
| Nitrofurantoin Mono-Macro | 19 | $291 | $15 |
| Azithromycin | 29 | $199 | $7 |
| Clindamycin | 11 | $184 | $17 |
| Ciprofloxacin | 16 | $130 | $8 |
Professional record
- NPI
- 1639618523
- Licence
- CA 95006038
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 363LF0000X (363LF0000X)
- Mailing address
- 326 Spode Way, San Jose, CA, 95123
- NPI first listed
- 2017-02-13
- NPI last updated
- 2017-03-26
This is when the NPI record was last certified, not a medical board exam.