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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMES BRUCE CARROLL M.D.
NPI 1225060148
Family Medicine in Bakersville, NC

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
86 N MITCHELL AVE, BAKERSVILLE, NC 28705(828) 688-2104(844) 772-0832 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, Jul 25, 2023, Aug 19, 2021 (3 updates tracked since 2021).

About James Bruce Carroll M.d. NPPES

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

JAMES BRUCE CARROLL M.D. (NPI 1225060148) is an individual family medicine provider in Bakersville, North Carolina, licensed in North Carolina (31781) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Blue Ridge Regional Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1225060148
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES BRUCE CARROLLCredential: M.D.
Location Address86 N MITCHELL AVEBakersville, NC 28705-6502
Mailing AddressPo Box 27Bakersville, NC 28705-0027 · (828) 688-2104 · Fax (844) 772-0832
Phone(828) 688-2104
Fax(844) 772-0832
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1986
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1225060148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 31781
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
86 N MITCHELL AVE, Bakersville, NC 28705
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Secondary Practice Locations 5

Location 111728 S 226 HwySpruce Pine, NC 28777-8954 · Phone (828) 765-4201
Location 2285 Georges Fork RdBurnsville, NC 28714-7827 · Phone (828) 682-2281
Location 31128 Cane River School RdBurnsville, NC 28714-8106 · Phone (828) 682-4158
Location 4116 Seven Mile Ridge RdBurnsville, NC 28714-8509 · Phone (828) 675-4116
Location 571 Blue Ridge LnBurnsville, NC 28714-7270 · Phone (828) 682-8588

Other Identifiers 10

Other212036DNC · Medicare Pin
Other00513NC · Bcbs
Other014MXNC · Bcbs Labs
Other8907673NC · Medcaid Physician
Medicaid8921331NC
Other07673NC · Bcbs Physician
Other235013NC · Medicare Physician
Other235013BNC · Medicare Physician
Other3400011NC · Medcaid
Other411013849NC · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

James Bruce Carroll M.d. 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 ID7618004029
PECOS Enrollment IDI20100415000963
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 3

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
54 services23 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
24 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Blue Ridge Regional Hospital

Critical Access Hospitals · Spruce Pine, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341329
Location125 Hospital DriveSpruce Pine, NC 28777 · Mitchell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28705 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%95 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
62%312 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
92%496 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
66%593 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
40%154 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%3,263 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,342 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
66%164 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%260 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%1,609 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%1,609 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%1,609 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%1,609 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers25 claims64 services$5.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers19 claims26 services$0.88 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$97.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims33 services$42.07 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers13 claims13 services$18.59 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims72 services$2.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MOUNTAIN COMMUNITY HEALTH PARTNERSHIP INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
86 N MITCHELL AVE
BAKERSVILLE, NC 28705
Mitchell County (828) 688-2104
STEPHEN WILLIAM NORTH M.D.
Family Medicine
86 N MITCHELL AVE
BAKERSVILLE, NC 28705
Mitchell County (828) 688-2104
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
86 N MITCHELL AVE, ROOM L
BAKERSVILLE, NC 28705
Mitchell County (828) 688-1005
BARBARA ANNE STAGG M.D.
Family Medicine
86 N MITCHELL AVE
BAKERSVILLE, NC 28705
Mitchell County (828) 688-2104
PHILIP ALBERT COPE DC
Chiropractor
86 N MITCHELL AVE
BAKERSVILLE, NC 28705
Mitchell County (828) 688-2104
KERI BUCHANAN NORRIS PA-C
Physician Assistant
86 N MITCHELL AVE
BAKERSVILLE, NC 28705
Mitchell County (828) 688-2104
LAURA KATHRYN LOUDIN
Physician Assistant
86 N MITCHELL AVE
BAKERSVILLE, NC 28705
Mitchell County (828) 688-2104
PATRICIA SILVER FNP
Nurse Practitioner (Family)
86 N MITCHELL AVE
BAKERSVILLE, NC 28705
Mitchell County (828) 688-2104

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 James Carroll's NPI number?

The NPI number for James Carroll is 1225060148. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is James Carroll located?

James Carroll practices at 86 N Mitchell Ave, Bakersville, NC 28705. The listed phone number is (828) 688-2104.

What is James Carroll's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Carroll enrolled in Medicare?

Yes. James 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 James Carroll accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list James 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 James Carroll affiliated with any hospitals?

According to CMS data, James Carroll is affiliated with Blue Ridge Regional Hospital.

When was this NPI record last updated?

The NPPES record for James Carroll was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.