MARY ANNE CARROLL MD
NPI 1235162116
Obstetrics & Gynecology in Portland, ME

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
MAINE MEDICAL CENTER, 22 BRAMHALL STREET, PORTLAND, ME 04102(207) 662-0111 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2023, Dec 2, 2021, Mar 15, 2021 (3 updates tracked since 2021).

About Mary Anne Carroll Md NPPES

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

MARY ANNE CARROLL MD (NPI 1235162116) is an individual obstetrics & gynecology provider in Portland, Maine, licensed in Maine (MD26233) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of State University Of Ny Upstate Medical University (1996).

NPPES Registry Identity

NPI1235162116
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY ANNE CARROLLCredential: MD
Location AddressMAINE MEDICAL CENTER, 22 BRAMHALL STREETPortland, ME 04102
Mailing AddressMaine Medical Center, 22 Bramhall StreetPortland, ME 04102 · (207) 662-0111
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1996
Enumeration DateJuly 7, 2006
Last NPPES UpdateJanuary 11, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2023
NPI 1235162116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in ME · MD26233 Licensed in TX · I0769
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X · License L0769 (TX), 49410 (WI), MD45200 (TN), MD26233 (ME)
MAINE MEDICAL CENTER, Portland, ME 04102

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

Mary Anne Carroll 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 ID9638182298
PECOS Enrollment IDI20230220001401
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.

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Emergency Medicine
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Physical Medicine & Rehabilitation
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
MAINE MEDICAL CENTER, 22 BRAMHALL STREET
PORTLAND, ME 04102

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 Mary Anne Carroll's NPI number?

The NPI number for Mary Anne Carroll is 1235162116. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mary Anne Carroll located?

Mary Anne Carroll practices at Maine Medical Center 22 Bramhall Street, Portland, ME 04102. The listed phone number is (207) 662-0111.

What is Mary Anne Carroll's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mary Anne Carroll enrolled in Medicare?

Yes. Mary Anne 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 Mary Anne Carroll accept?

Health plans from Blue Cross and Blue Shield of Texas and Harvard Pilgrim Health Care list Mary Anne 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 Mary Anne Carroll affiliated with any hospitals?

According to CMS data, Mary Anne Carroll is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Anne Carroll was last updated on January 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.