Doctor profile · Federal record
Dr. James Carroll, M.D.
Surgery Physician (CMS: General Surgery) · Worcester, MA
- NPI 1992854681
- Accepts Medicare
- MIPS 89.0 / 100 · 2023
- 20 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
55 Lake Ave N, Department of Surgery
Worcester, MA 016550002
(508) 334-0545
fax (774) 443-0544 - Mailing address
-
Po Box 415348
Boston, MA 022415348
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- November 2, 2020
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 208600000X — NUCC code
- State license (1)
- Massachusetts #238407
- Medicaid
- MA #110095660A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1992854681. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
240
Distinct HCPCS
5
Medicare allowed
$26,519
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99203 |
New patient office or other outpatient visit, 30-44 minutes | 74 | 74 | $84 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 63 | 53 | $67 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 46 | 46 | $130 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 43 | 26 | $80 | |
49650 |
Repair of groin hernia using an endoscope | 14 | 14 | $476 |
In context: peer comparison
Among 15 peers in this city , average services per provider: 29. This provider delivers 8.3× the peer median.Open Payments
Industry payments received
All-time total
$173
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Pharmaceuticals, Inc | 1 | $89.41 | |
| INTUITIVE SURGICAL, INC. | 1 | $83.49 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. James Carroll's medical specialty?
Dr. James Carroll practices Surgery Physician in Worcester, MA.
Where does Dr. James Carroll practice?
Dr. James Carroll practices at 55 Lake Ave N, Worcester, MA 016550002. Office phone: 5083340545.
What is Dr. James Carroll's NPI?
Dr. James Carroll's National Provider Identifier (NPI) is 1992854681, issued by NPPES.
Does Dr. James Carroll accept Medicare assignment?
Yes. Dr. James Carroll accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Carroll commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99213); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.