KATHLEEN CARROLL
NPI 1093918609
Obstetrics & Gynecology in Pittsburgh, PA

Active since June 10, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
850 CLAIRTON BLVD STE 3100, SUITE 5730, PITTSBURGH, PA 15236(412) 641-6229 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Carroll NPPES

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

KATHLEEN CARROLL (NPI 1093918609) is an individual obstetrics & gynecology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD429547) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of University Of Pittsburgh School Of Medicine (2004).

NPPES Registry Identity

NPI1093918609
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHLEEN CARROLL
Location Address850 CLAIRTON BLVD STE 3100, SUITE 5730Pittsburgh, PA 15236-4585
Mailing Address850 Clairton Blvd Ste 3100, Suite 5730Pittsburgh, PA 15236-4585
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2004
Enumeration DateJune 10, 2007
Last NPPES UpdateMarch 25, 2021
NPI 1093918609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD429547
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
850 CLAIRTON BLVD STE 3100, Pittsburgh, PA 15236

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen Carroll 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 ID3375616105
PECOS Enrollment IDI20091020000551
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.

Areas of Expertise CMS Part B claims

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15236 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
850 CLAIRTON BLVD STE 3100
PLEASANT HILLS, PA 15236
Obstetrics & Gynecology
850 CLAIRTON BLVD STE 3100, SUITE 0610
PITTSBURGH, PA 15236

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 Kathleen Carroll's NPI number?

The NPI number for Kathleen Carroll is 1093918609. It was assigned to this individual provider in the NPPES registry on June 10, 2007.

Where is Kathleen Carroll located?

Kathleen Carroll practices at 850 Clairton Blvd Ste 3100 Suite 5730, Pittsburgh, PA 15236. The listed phone number is (412) 641-6229.

What is Kathleen Carroll's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kathleen Carroll enrolled in Medicare?

Yes. Kathleen 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.

Is Kathleen Carroll affiliated with any hospitals?

According to CMS data, Kathleen Carroll is affiliated with Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Kathleen Carroll was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.