DR. SEAN THOMAS CARROLL D.O.
NPI 1194776047
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Erie, PA

Q: What is Sean Carroll's NPI number?

The NPI number for Sean Carroll is 1194776047. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Sean Carroll's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Q: When was this NPI record last updated?

The NPPES record for Sean Carroll was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment

79.55/100

CMS Quality Rating

380 E BAYFRONT PKWY STE 3, ERIE, PA 16507(814) 877-9060(814) 877-9089 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 28, 2022, Apr 27, 2021 (2 updates tracked since 2021).

On this page

About Dr. Sean Thomas Carroll D.o. NPPES

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

DR. SEAN THOMAS CARROLL D.O. (NPI 1194776047) is an individual otolaryngology/facial plastic surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (OS009150L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Chautauqua At Wca, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1992).

NPPES Registry Identity

NPI1194776047

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameDR. SEAN THOMAS CARROLLCredential: D.O.

Location Address380 E BAYFRONT PKWY STE 3Erie, PA 16507-2408

Mailing Address380 E Bayfront Pkwy Ste 3Erie, PA 16507-2408 · (814) 877-9060 · Fax (814) 877-9089

Phone(814) 877-9060

Fax(814) 877-9089

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1992

Enumeration DateMay 15, 2006

Last NPPES UpdateDecember 28, 20222 updates tracked since enumeration

NPPES CertifiedDecember 28, 2022

✔ NPI 1194776047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in PA · OS009150L

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

380 E BAYFRONT PKWY STE 3, Erie, PA 16507

Open in Google Maps ↗

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

Dr. Sean Thomas Carroll D.o. 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 ID547346371

PECOS Enrollment IDI20110321000429

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

Medicare enrollment records show Sean Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Health Services Inc

0.8 mi

Family Medicine

201 STATE ST
Erie, PA 16550

Reassigned Medicare billing, Pennsylvania enrollment
962 clinicians in this Medicare group

NPI 1174520654 (814) 877-8140

Ear Nose And Throat Specialists Of Northwestern Pennsylvania

1.5 mi

Otolaryngology

1645 W 8TH ST, SUITE 200
Erie, PA 16505

Reassigned Medicare billing, Pennsylvania enrollment
12 clinicians in this Medicare group

NPI 1194754846 (814) 864-9994

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 11

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

1,220 services21 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

378 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

247 services191 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

188 services132 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

101 services101 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

74 services62 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

47 services41 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.

35 services35 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services32 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.

18 services16 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330239

Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County

Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390063

Location201 State StreetErie, PA 16550 · Erie County

Emergency services Birthing friendly

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.

79.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.36

Promoting Interoperability

100

Improvement Activities

Cost

67.48

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.

DAVID JOHN ADDISON DO

Student in an Organized Health Care Education/Training Program

380 E BAYFRONT PKWY STE 3
ERIE, PA 16507

Erie County (814) 877-9060

RICK FORNELLI M.D.

Otolaryngology

380 E BAYFRONT PKWY STE 3
ERIE, PA 16507

Erie County (814) 877-9060

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 Sean Carroll's NPI number?

The NPI number for Sean Carroll is 1194776047. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Sean Carroll located?

Sean Carroll practices at 380 E Bayfront Pkwy Ste 3, Erie, PA 16507. The listed phone number is (814) 877-9060.

What is Sean Carroll's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Sean Carroll enrolled in Medicare?

Yes. Sean 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 Sean Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Carroll reassigns Medicare benefits to 2 organizations: Regional Health Services Inc (Erie, PA) and Ear Nose And Throat Specialists Of Northwestern Pennsylvania (Erie, PA). 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 Sean Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sean Carroll affiliated with any hospitals?

According to CMS data, Sean Carroll is affiliated with Upmc Chautauqua At Wca and Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Sean Carroll was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.