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JAMES P CARROLL M.D.
NPI 1023048436
Surgery in Mckinney, TX

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
5236 W UNIVERSITY DR STE 2900, MCKINNEY, TX 75071(469) 617-6550(512) 244-2479 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 12, 2025, May 28, 2025, Feb 2, 2022 (3 updates tracked since 2022).

About James P Carroll M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES P CARROLL M.D. (NPI 1023048436) is an individual surgery provider in Mckinney, Texas, licensed in Texas (L6818) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023048436
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES P CARROLLCredential: M.D.
Location Address5236 W UNIVERSITY DR STE 2900Mckinney, TX 75071-8117
Mailing Address7200 Wyoming Springs Dr Ste 500Round Rock, TX 78681-4307 · (512) 244-0111 · Fax (512) 244-2479
Phone(469) 617-6550
Fax(512) 244-2479
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 3, 2006
Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1023048436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · L6818
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License L6818 (TX)
5236 W UNIVERSITY DR STE 2900, Mckinney, TX 75071
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Secondary Practice Locations 2

Location 17200 Wyoming Springs Dr Ste 500Round Rock, TX 78681-4307 · Phone (512) 244-0111 · Fax (512) 244-2479
Location 2630 S Fleishel AveTyler, TX 75701-2041 · Phone (903) 606-5560

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James P Carroll M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456264548
PECOS Enrollment IDI20031105000817, I20250614000133, I20250619001025, I20260521001954
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show James Carroll reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgicalist Of Tx PLLC
51 mi
Surgery
909 9TH AVE STE 205
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1972048510 (972) 665-6501
Christus Trinity Clinic Texas
101 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
Urgent Specialty Associates Of Texas, PLLC
234 mi
Surgical Critical Care
22999 HWY 59 N
Kingwood, TX 77339
  • Reassigned Medicare billing, Texas enrollment
  • 99 clinicians in this Medicare group
NPI 1790350445 (281) 348-8000
Urgent Specialty Associates Of Missouri LLC
416 mi
Surgical Critical Care
2316 E MEYER BLVD
Kansas City, MO 64132
  • Reassigned Medicare billing, Missouri enrollment
  • 53 clinicians in this Medicare group
NPI 1992436422 (816) 276-4000
Urgent Specialty Associates Of Utah PLLC
990 mi
Surgical Critical Care
1200 E 3900 S
Salt Lake City, UT 84124
  • Reassigned Medicare billing, Utah enrollment
  • 18 clinicians in this Medicare group
NPI 1992587778 (801) 268-7111
Urgent Specialty Associates PLLC
1,119 mi
Surgery
7101 JAHNKE RD
Richmond, VA 23225
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 49 clinicians in this Medicare group
NPI 1487164604 (972) 468-0029

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
191 services133 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services47 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
27 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services14 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIGMA SURGICAL LLC
Surgery
5236 W UNIVERSITY DR STE 2900
MCKINNEY, TX 75071
Collin County (469) 617-6550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Carroll's NPI number?

The NPI number for James Carroll is 1023048436. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is James Carroll located?

James Carroll practices at 5236 W University Dr Ste 2900, Mckinney, TX 75071. The listed phone number is (469) 617-6550.

What is James Carroll's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Carroll enrolled in Medicare?

Yes. James Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Carroll reassigns Medicare benefits to 6 organizations: Surgicalist Of Tx PLLC (Fort Worth, TX), Christus Trinity Clinic Texas (Tyler, TX), Urgent Specialty Associates Of Texas, PLLC (Kingwood, TX), Urgent Specialty Associates Of Missouri LLC (Kansas City, MO), Urgent Specialty Associates Of Utah PLLC (Salt Lake City, UT) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Carroll accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list James Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Carroll affiliated with any hospitals?

According to CMS data, James Carroll is affiliated with Chi St Joseph Health Regional Hospital, Christus Mother Frances Hospital, Hca Houston Healthcare Kingwood and Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for James Carroll was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.