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RICHARD HISHAM MCCARROLL MD
NPI 1194013656
Surgery in Columbia, SC

Active since July 19, 2011PECOS EnrolledAccepts Medicare Assignment
99.32/100
CMS Quality Rating
2 MEDICAL PARK, STE. 306 SURGERY -, COLUMBIA, SC 29203(803) 256-2657(803) 933-9545 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2018, Jul 2, 2018 (2 updates tracked since 2018).

About Richard Hisham Mccarroll Md NPPES

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

RICHARD HISHAM MCCARROLL MD (NPI 1194013656) is an individual surgery provider in Columbia, South Carolina, licensed in South Carolina (33875) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1194013656
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRICHARD HISHAM MCCARROLLCredential: MD
Location Address2 MEDICAL PARK, STE. 306 SURGERY -Columbia, SC 29203
Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 256-2657 · Fax (803) 933-9545
Phone(803) 256-2657
Fax(803) 933-9545
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 19, 2011
Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration
✔ NPI 1194013656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · 33875
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.
2 MEDICAL PARK, Columbia, SC 29203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina.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

Richard Hisham Mccarroll 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.

PECOS PAC ID4385930395
PECOS Enrollment IDI20180816001726
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 4

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 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.
75 services31 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.
59 services56 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
49 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420086
Location1330 Taylor At Marion StColumbia, SC 29220 · Richland County
Emergency services Birthing friendly

Prisma Health Baptist Parkridge

Acute Care Hospitals · Columbia, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420106
Location400 Palmetto Health ParkwayColumbia, SC 29212 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

99.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

AYANA MAIA WILSON MD
Emergency Medicine
2 MEDICAL PARK, STE. 208 OB/GYN -
COLUMBIA, SC 29203
Richland County (803) 779-4928
MRS. BARBARA ANN GILLEYLEN APRN-ANP
Nurse Practitioner (Adult Health)
2 MEDICAL PARK, SUITE 501
COLUMBIA, SC 29203
Richland County (803) 540-1000
PATRICK JOSEPH MULHERIN MD
Emergency Medicine
2 MEDICAL PARK, STE. 208- OB/GYN
COLUMBIA, SC 29203
Richland County (803) 779-4928
SIRINART SIRINVARAVONG MD.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2 MEDICAL PARK, SUITE 506
COLUMBIA, SC 29203
Richland County (803) 540-1000

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 Richard Mccarroll's NPI number?

The NPI number for Richard Mccarroll is 1194013656. It was assigned to this individual provider in the NPPES registry on July 19, 2011.

Where is Richard Mccarroll located?

Richard Mccarroll practices at 2 Medical Park Ste. 306 Surgery -, Columbia, SC 29203. The listed phone number is (803) 256-2657.

What is Richard Mccarroll's specialty?

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

Is Richard Mccarroll enrolled in Medicare?

Yes. Richard Mccarroll 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 Richard Mccarroll accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Richard Mccarroll 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 Richard Mccarroll affiliated with any hospitals?

According to CMS data, Richard Mccarroll is affiliated with Prisma Health Richland Hospital, Prisma Health Baptist and Prisma Health Baptist Parkridge.

When was this NPI record last updated?

The NPPES record for Richard Mccarroll was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.