Dr. Scott R. Carlson
- Gender: Male
- Experience: 11 years
- Graduated from: University Of Cincinnati College Of Medicine
- Graduation year: 2010
- Sole propriator: No
- NPI: 1356667513
Dr. Scott R. Carlson M.D.
Pediatrician
He is located at 234 Goodman St., Ml 665X Hoxworth Medicine-Pediatrics Clinic in Cincinnati, OH 45219. Can help patients with the following: Asthma, Cleft Palate and Cleft Lip, Fetal Alcohol Syndrome (FAS), Inguinal Hernia, Muscular Dystrophy, Sudden Infant Death Syndrome (SIDS). His National Provider Identifier (NPI) number is 1356667513. Appointment can be made via the phone number (513) 584-7425. He is affiliated with 2 practices and 2 hospitals.
Conditions treated
Dr. Scott Carlson, being an pediatrician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Scott R. Carlson.
- Abdominal Pain
- Acute Pain
- Allergic Reaction
- Anemia
- Anencephaly
- Arthritis
- Asthma
- Atherosclerosis
- Autism
- Bee and Wasp Stings
- Birth Defects
- Bladder Control
- Bronchitis
- Cerebral Palsy (CP)
- Chest Pain
- Childhood Behavioral and Emotional Disorders
- Childhood Obesity
- Cholecystitis
- Chronic Cough
- Chronic Obstructive Pulmonary Disease (COPD)
- Cleft Palate and Cleft Lip
- Colic
- Common Cold
- Constipation
- Croup
- Cystitis
- Developmental Delays
- Diarrhea
- Down Syndrome
- Dyslexia
- Eczema
- Edema
- Edwards Syndrome
- Enuresis
- Fetal Alcohol Syndrome (FAS)
- Fever
- Food Poisoning
- Fragile X Syndrome (FXS)
- Gastroesophageal Reflux Disease (GERD)
- General Care
- Hay Fever
- Head Lice
- Headache
- Heart Disease
- Hiatal Hernia
- High Blood Pressure
- Hives
- Hot Flashes
- Hyperlipidemia
- Hyponatremia
- Infant Care
- Influenza
- Inguinal Hernia
- Jaundice
- Kawasaki Disease
- Learning Disability
- Migraine
- Muscular Dystrophy
- Nausea and Vomiting
- Noonan Syndrome
- Obesity
- Osteoporosis
- Parenting
- Peptic Ulcer
- Pervasive Developmental Disorders (PDD)
- Phenylketonuria (PKU)
- Pinworm Infection
- Prescription Refill
- Reye Syndrome
- Rickets
- Sinusitis
- Skin Rash
- Sore Throat
- Speech Disorders
- Stuttering
- Sudden Infant Death Syndrome (SIDS)
- Tourette Syndrome
- Turner Syndrome
- Upper Respiratory Infection (URI)
- Urethritis
- Urinary Tract Infection (UTI)
- Williams Syndrome
- Wilson-Turner Syndrome
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Scott R. Carlson as in-network for the following 2026 plans.
Health plans
Anthem Blue Cross and Blue Shield
Network data as of Sep 10, 2026, as reported by the insurer.
Show all 11 plans from Anthem Blue Cross and Blue Shield
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) | HMO · Bronze | Participating | Accepting new patients at some locations |
| Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) | HMO · Bronze | Participating | Accepting new patients at some locations |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO · Expanded Bronze | Participating | Accepting new patients at some locations |
| Anthem Bronze Pathway 8500 for HSA | HMO · Expanded Bronze | Participating | Accepting new patients at some locations |
| Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO · Gold | Participating | Accepting new patients at some locations |
| Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) | HMO · Expanded Bronze | Participating | Accepting new patients at some locations |
| Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) | HMO · Silver | Participating | Accepting new patients at some locations |
| Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) | HMO · Silver | Participating | Accepting new patients at some locations |
| Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) | HMO · Silver | Participating | Accepting new patients at some locations |
| Anthem Silver Pathway 5500 for HSA | HMO · Silver | Participating | Accepting new patients at some locations |
| Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO · Silver | Participating | Accepting new patients at some locations |
Antidote Health Plan of Ohio, Inc.
Network data as of Nov 9, 2025, as reported by the insurer.
Show all 15 plans from Antidote Health Plan of Ohio, Inc.
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Expanded Bronze | Tierone | Not accepting new patients |
| Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Expanded Bronze | Tierone | Not accepting new patients |
| Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Expanded Bronze | Tierone | Not accepting new patients |
| Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Expanded Bronze | Tierone | Not accepting new patients |
| Bronze Standard | HMO · Expanded Bronze | Tierone | Not accepting new patients |
| Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Gold | Tierone | Not accepting new patients |
| Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Gold | Tierone | Not accepting new patients |
| Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Gold | Tierone | Not accepting new patients |
| Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Gold | Tierone | Not accepting new patients |
| Gold Standard | HMO · Gold | Tierone | Not accepting new patients |
| Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Silver | Tierone | Not accepting new patients |
| Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO · Silver | Tierone | Not accepting new patients |
| Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Silver | Tierone | Not accepting new patients |
| Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO · Silver | Tierone | Not accepting new patients |
| Silver Standard | HMO · Silver | Tierone | Not accepting new patients |
Oscar Health Insurance
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 16 plans from Oscar Health Insurance
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Bronze Classic 4700 | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Classic Standard | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Elite + PCP Saver Plus | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Chronic Care CKM | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Bronze Simple Diabetes | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Gold Classic | HMO · Gold | Preferred | Accepting new patients |
| Gold Classic Standard | HMO · Gold | Preferred | Accepting new patients |
| Gold Elite Saver Plus | HMO · Gold | Preferred | Accepting new patients |
| Silver Classic Standard | HMO · Silver | Preferred | Accepting new patients |
| Silver Elite Saver Plus | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Chronic Care CKM | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits | HMO · Silver | Preferred | Accepting new patients |
UnitedHealthcare
Network data as of Sep 16, 2026, as reported by the insurer.
Show all 17 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) | HMO · Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard (No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Bronze Standard+ (Dental + Vision, No Referrals) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard (No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Gold Standard+ (Dental + Vision, No Referrals) | HMO · Gold | Non Preferred | Accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard (No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
| UHC Silver Standard+ (Dental + Vision, No Referrals) | HMO · Silver | Non Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Scott R. Carlson is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Scott R. Carlson is enrolled to bill Medicare as a Practitioner - Pediatric Medicine (also registered under: Practitioner - Internal Medicine) .
Bills through: Mount Carmel Healthproviders Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Novo Nordisk | $217 |
| Lilly | $80 |
| Takeda | $64 |
Other
| Food and Beverage | $693 |
Studies
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated in 2010Additional Specialities
- Internist
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Questions & Answers
Does Dr. Scott Carlson have affiliation with practices?
Dr. Scott Carlson is affiliated with Mount Carmel West Physicians Group. For the full list of practices see this list.
Has Dr. Scott Carlson affiliation with hospitals?
Dr. Scott Carlson is affiliated with RIVERSIDE METHODIST HOSPITAL. For the full list of hospitals see this list.
Does Dr. Scott Carlson accept insurance?
Dr. Scott Carlson is listed in-network for 59 ACA Marketplace (Obamacare/HealthCare.gov) plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Oscar Health Insurance, UnitedHealthcare. See the Marketplace plans section for details.
Where can you meet with Dr. Scott Carlson?
Dr. Scott Carlson's office is located at 234 Goodman St., Ml 665X Hoxworth Medicine-Pediatrics Clinic in Cincinnati, OH 45219.
What conditions does Dr. Scott Carlson treat?
Dr. Scott Carlson provides treatment for Asthma, Cleft Palate and Cleft Lip, Fetal Alcohol Syndrome (FAS), Inguinal Hernia, Muscular Dystrophy, Sudden Infant Death Syndrome (SIDS). For the full list see this list.