JOHN E CARROLL JR. MD
NPI 1114935400
Internal Medicine - Endocrinology, Diabetes & Metabolism in Wausau, WI
About John E Carroll Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN E CARROLL JR. MD (NPI 1114935400) is an individual endocrinology, diabetes & metabolism provider in Wausau, Wisconsin, licensed in Wisconsin (19661) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Keweenaw Hospital And Clinics, and is a graduate of University Of Wisconsin School Of Medicine (1974).
NPPES Registry Identity
Specialties & Licenses
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Other Identifiers 2
Accepted Insurance
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
John E Carroll Jr. Md 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Keweenaw Hospital And Clinics
Critical Access Hospitals · Laurium, MIAspirus Rhinelander Hospital
Acute Care Hospitals · Rhinelander, WIAspirus Wausau Hospital
Acute Care Hospitals · Wausau, WIHoward Young Medical Center
Acute Care Hospitals · Woodruff, WILanglade Hospital
Critical Access Hospitals · Antigo, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 5
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.
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 John Carroll's NPI number?
The NPI number for John Carroll is 1114935400. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is John Carroll located?
John Carroll practices at 2720 Plaza Dr Suite 1400, Wausau, WI 54401. The listed phone number is (715) 847-2004.
What is John Carroll's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is John Carroll enrolled in Medicare?
Yes. John 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.
What insurance does John Carroll accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list John 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 John Carroll affiliated with any hospitals?
According to CMS data, John Carroll is affiliated with Aspirus Keweenaw Hospital And Clinics, Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Howard Young Medical Center and Langlade Hospital.
When was this NPI record last updated?
The NPPES record for John Carroll was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
