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TIMOTHY PATRICK CARROLL MD
NPI 1235751231
Internal Medicine in Springfield, IL

Active since May 12, 2020PECOS EnrolledAccepts Medicare Assignment
97.28/100
CMS Quality Rating
751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-4735 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, May 12, 2020 (2 updates tracked since 2020).

About Timothy Patrick Carroll Md NPPES

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

TIMOTHY PATRICK CARROLL MD (NPI 1235751231) is an individual internal medicine provider in Springfield, Illinois, licensed in Illinois (036.164879) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and maintains a secondary practice location in Roscoe.

NPPES Registry Identity

NPI1235751231
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTIMOTHY PATRICK CARROLLCredential: MD
Location Address751 N RUTLEDGE ST STE 1100Springfield, IL 62702-4968
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000
Phone(217) 545-8000
Fax(217) 545-4735
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2020
Enumeration DateMay 12, 2020
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1235751231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036.164879✔ Licensed in IL · 125.075812
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
751 N RUTLEDGE ST STE 1100, Springfield, IL 62702
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Secondary Practice Location 1

Location 15000 Prairie Rose DrRoscoe, IL 61073-7792 · Phone (815) 971-2000

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

Timothy Patrick 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 ID4880018456
PECOS Enrollment IDI20231003001366
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 5

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.
129 services78 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.
103 services66 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.
37 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

97.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.78
Promoting Interoperability98.23
Improvement Activities40

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.

ANAND PATEL PHARMD
Pharmacist (Ambulatory Care)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
NITIN SAINI MD
Internal Medicine
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ABDUL MONEM SWIED MD
Internal Medicine (Gastroenterology)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ELIZABETH TATUM MD
Internal Medicine
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
STACY RENEE LEE LCSW
Social Worker (Clinical)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. ZAFAR QUADER M.D.
Internal Medicine (Gastroenterology)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DELANEY MARGUERITE WOLF RAWSON MD
Internal Medicine
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
CHARLYN K WARE MS RD LDN
Dietitian, Registered
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Timothy Carroll's NPI number?

The NPI number for Timothy Carroll is 1235751231. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Where is Timothy Carroll located?

Timothy Carroll practices at 751 N Rutledge St Ste 1100, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Timothy Carroll's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Timothy Carroll enrolled in Medicare?

Yes. Timothy 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.

Is Timothy Carroll affiliated with any hospitals?

According to CMS data, Timothy Carroll is affiliated with Decatur Memorial Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Carroll was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.