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THOMAS CARROLL PA-C
NPI 1225511801
Physician Assistant in Hermitage, TN

Active since September 10, 2018PECOS EnrolledAccepts Medicare Assignment
5114 OLD HICKORY BLVD STE 201, HERMITAGE, TN 37076(615) 850-6960(615) 777-3393 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 3, 2024, Mar 7, 2023, May 18, 2022 and 4 more (7 updates tracked since 2018).

About Thomas Carroll Pa-c NPPES

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

THOMAS CARROLL PA-C (NPI 1225511801) is an individual physician assistant in Hermitage, Tennessee, licensed in Tennessee (4082) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hermitage, and is a graduate of Nebraska College Of Medicine (2019).

NPPES Registry Identity

NPI1225511801
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS CARROLLCredential: PA-C
Location Address5114 OLD HICKORY BLVD STE 201Hermitage, TN 37076-2590
Mailing Address5114 Old Hickory Blvd Ste 201Hermitage, TN 37076-2590 · (615) 850-6960 · Fax (615) 777-3393
Phone(615) 850-6960
Fax(615) 777-3393
Sole ProprietorYes
Medical School CMSNebraska College Of MedicineGraduated 2019
Enumeration DateSeptember 10, 2018
Last NPPES UpdateJune 3, 20247 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1225511801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 4082
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5114 OLD HICKORY BLVD STE 201, Hermitage, TN 37076
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Secondary Practice Location 1

Location 14036 Magnolia Farms DrHermitage, TN 37076-1645 · Phone (610) 730-2585

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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

Thomas Carroll Pa-c 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 ID4981027554
PECOS Enrollment IDI20200715001109
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.

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.
354 services72 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.
54 services21 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37076 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Other Providers at the Same Location NPPES

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

KEN HOMOLYA MD LLC
Anesthesiology (Pain Medicine)
5114 OLD HICKORY BLVD STE 201
HERMITAGE, TN 37076
Davidson County (615) 850-6960

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 Thomas Carroll's NPI number?

The NPI number for Thomas Carroll is 1225511801. It was assigned to this individual provider in the NPPES registry on September 10, 2018.

Where is Thomas Carroll located?

Thomas Carroll practices at 5114 Old Hickory Blvd Ste 201, Hermitage, TN 37076. The listed phone number is (615) 850-6960.

What is Thomas Carroll's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Carroll enrolled in Medicare?

Yes. Thomas 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 Thomas Carroll accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Carroll was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.