MARVIN WALTER CARROLL MD
NPI 1073547451
Emergency Medicine in San Angelo, TX
About Marvin Walter Carroll Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARVIN WALTER CARROLL MD (NPI 1073547451) is an individual emergency medicine provider in San Angelo, Texas, licensed in Texas (K7257) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marvin Walter Carroll Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marvin Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alpine, TX 79830
- Reassigned Medicare billing, Texas enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
SAN ANGELO, TX 76904
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 Marvin Carroll's NPI number?
The NPI number for Marvin Carroll is 1073547451. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Marvin Carroll located?
Marvin Carroll practices at 3501 Knickerbocker Rd, San Angelo, TX 76904. The listed phone number is (800) 893-9698.
What is Marvin Carroll's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Marvin Carroll enrolled in Medicare?
Yes. Marvin Carroll is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marvin Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marvin Carroll reassigns Medicare benefits to Brewster Emergency Medicine Associates PA (Alpine, TX). The 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 Marvin Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marvin Carroll accept?
Health plans from Baylor Scott and White Health Plan, Oscar Health and Oscar Insurance Company list Marvin 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.
When was this NPI record last updated?
The NPPES record for Marvin Carroll was last updated on August 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Marvin Walter Carroll, MD · NPI 1073547451
Emergency Medicine physician in San Angelo, Texas. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1073547451 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** K7257 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3501 KNICKERBOCKER RD, San Angelo, TX 76904-7610
- **Phone:** (800) 893-9698
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Brewster Emergency Medicine Associates PA (NPI 1538218771, Alpine, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2012
- **Other identifiers:** Medicare UPIN G92985 (TX); Medicaid 133618214 (TX); Medicare PIN 8L9616 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1073547451) · Data from the CMS NPPES public registry.