Doctor profile · Federal record
Dr. Robert Carroll, M.D.
Hematology & Oncology Physician (CMS: Hematology) · Newport Beach, CA
- NPI 1295875854
- Accepts Medicare
- MIPS 84.4 / 100 · 2023
- 25 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
20162 Sw Birch St, Suite 200
Newport Beach, CA 926600787
(949) 553-3330
fax (949) 631-9012
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- May 13, 2010
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 207RH0003X — NUCC code
- State license (1)
- California #A69851
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1295875854. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
657
Distinct HCPCS
9
Medicare allowed
$62,402
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 275 | 163 | $70 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 71 | 58 | $103 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 69 | 49 | $84 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 64 | 34 | $126 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 57 | 39 | $144 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 53 | 53 | $139 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 36 | 21 | $51 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 20 | 19 | $186 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 12 | 12 | $81 |
In context: peer comparison
Among 9 peers in Newport Beach Hematology & Oncology Physician, average services per provider: 1,060. This provider delivers 0.6× the peer median.Open Payments
Industry payments received
All-time total
$876
Transactions
11
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Biotech, INC. | 4 | $407.68 | |
| Rigel Pharmaceuticals, INC. | 2 | $142.67 | |
| E.R. Squibb & Sons, L.L.C. | 1 | $121.86 | |
| Pfizer INC. | 1 | $95.46 | |
| Menarini Silicon Biosystems, INC. | 1 | $60.18 | |
| Bayer Healthcare Pharmaceuticals INC. | 1 | $25.28 | |
| Abbvie INC. | 1 | $22.69 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
400
Patients
28
Total drug cost
$926,752
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Anastrozole | Generic | 56 | 17 | $1,674 |
| Acyclovir | Generic | 45 | 0 | $410 |
| Hydroxyurea | Generic | 42 | 0 | $1,397 |
| Letrozole | Generic | 40 | 11 | $1,036 |
| Eliquis (Apixaban) | Brand | 32 | 0 | $23,364 |
| Prednisone | Generic | 28 | 0 | $176 |
| Tamoxifen Citrate | Generic | 23 | 0 | $280 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 22 | 0 | $69 |
| Abiraterone Acetate | Generic | 19 | 0 | $136,853 |
| Allopurinol | Generic | 17 | 0 | $130 |
Hospital affiliations
Frequently asked questions
What is Dr. Robert Carroll's medical specialty?
Dr. Robert Carroll practices Hematology & Oncology Physician in Newport Beach, CA.
Where does Dr. Robert Carroll practice?
Dr. Robert Carroll practices at 20162 Sw Birch St, Newport Beach, CA 926600787. Office phone: 9495533330.
What is Dr. Robert Carroll's NPI?
Dr. Robert Carroll's National Provider Identifier (NPI) is 1295875854, issued by NPPES.
Does Dr. Robert Carroll accept Medicare assignment?
Yes. Dr. Robert Carroll accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Robert Carroll commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.