COLIN MICHAEL CARROLL M.D.
NPI 1295091148
Radiology - Diagnostic Radiology in Louisville, KY

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
87.97/100
CMS Quality Rating
4000 KRESGE WAY, LOUISVILLE, KY 40207(502) 897-9281 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2021, Aug 8, 2017, Jun 28, 2017 (3 updates tracked since 2017).

About Colin Michael Carroll M.d. NPPES

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

COLIN MICHAEL CARROLL M.D. (NPI 1295091148) is an individual diagnostic radiology provider in Louisville, Kentucky, licensed in Kentucky (50836) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of University Of Louisville School Of Medicine (2012).

NPPES Registry Identity

NPI1295091148
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCOLIN MICHAEL CARROLLCredential: M.D.
Location Address4000 KRESGE WAYLouisville, KY 40207-4605
Mailing Address702 Executive ParkLouisville, KY 40207-4207 · (502) 895-5405 · Fax (502) 894-9544
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2012
Enumeration DateApril 4, 2012
Last NPPES UpdateJuly 13, 20213 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
✔ NPI 1295091148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in KY · 50836✔ Licensed in TN · 49643
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 49643 (TN)
4000 KRESGE WAY, Louisville, KY 40207

Other Identifiers 1

Medicaid7100505170KY

Accepted Insurance

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

Colin Michael 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 ID2961774997
PECOS Enrollment IDI20180524002933, I20260413001640
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

2

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

Diagnostic Radiology
4000 KRESGE WAY
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 26 clinicians in this Medicare group
Diagnostic Radiology
1 AUDUBON PLAZA DR
Louisville, KY 40217
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 33 clinicians in this Medicare group

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 43

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
555 services508 patients
Nuclear medicine study from skull base to mid-thigh with ct scan 78815
A nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
218 services205 patients
Mri scan of pelvis before and after contrast 72197
An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.
192 services189 patients
Mri scan of abdomen before and after contrast 74183
An MRI scan of the abdomen before and after contrast provides detailed images of your abdominal organs. Initially, images are taken without a contrast agent. Then, a safe dye is administered, usually via an IV, to highlight certain areas, giving a clearer picture to help diagnose various conditions.
140 services130 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
113 services111 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
111 services110 patients

Hospital Affiliations CMS Care Compare 5

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

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

87.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.84
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.

Physician Assistant
4000 KRESGE WAY
LOUISVILLE, KY 40207
Nurse Anesthetist, Certified Registered
4000 KRESGE WAY
LOUISVILLE, KY 40207
Nurse Anesthetist, Certified Registered
4000 KRESGE WAY
LOUISVILLE, KY 40207
Anesthesiology
4000 KRESGE WAY
LOUISVILLE, KY 40207
Pathology (Anatomic Pathology & Clinical Pathology)
4000 KRESGE WAY, PATHOLOGY DEPT
LOUISVILLE, KY 40207
Nurse Practitioner (Acute Care)
4000 KRESGE WAY
LOUISVILLE, KY 40207
Physician Assistant
4000 KRESGE WAY
LOUISVILLE, KY 40207
Internal Medicine
4000 KRESGE WAY, BAPTIST EAST WOUND CARE CENTER
LOUISVILLE, KY 40207

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 Colin Carroll's NPI number?

The NPI number for Colin Carroll is 1295091148. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Colin Carroll located?

Colin Carroll practices at 4000 Kresge Way, Louisville, KY 40207. The listed phone number is (502) 897-9281.

What is Colin Carroll's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Colin Carroll enrolled in Medicare?

Yes. Colin 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 Colin Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colin Carroll reassigns Medicare benefits to 2 organizations: X-Ray Associates Of Louisville Psc (Louisville, KY) and Diagnostic X-Ray Physicians, Psc (Louisville, KY). 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 Colin Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colin Carroll accept?

Health plans from CareSource list Colin 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 Colin Carroll affiliated with any hospitals?

According to CMS data, Colin Carroll is affiliated with Clark Memorial Hospital, Jewish Hospital & St Mary's Healthcare, Norton Hospitals, Inc, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Colin Carroll was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.