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DR. RICHARD CARROLL MD
NPI 1306821491
Pediatrics in Chattanooga, TN

Active since December 12, 2005PECOS Enrolled
6787 LEE HWY STE 103, CHATTANOOGA, TN 37421(423) 698-2229(423) 495-2760 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2026, Nov 17, 2025 (2 updates tracked since 2025).

About Dr. Richard Carroll Md NPPES

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

DR. RICHARD CARROLL MD (NPI 1306821491) is an individual pediatrics provider in Chattanooga, Tennessee, licensed in Tennessee (35396) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1306821491
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. RICHARD CARROLLCredential: MD
Location Address6787 LEE HWY STE 103Chattanooga, TN 37421-5796
Mailing AddressPo Box 306647Nashville, TN 37230-6647 · (423) 698-2229 · Fax (423) 495-2760
Phone(423) 698-2229
Fax(423) 495-2760
Sole ProprietorNo
Enumeration DateDecember 12, 2005
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1306821491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TN · 35396
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6787 LEE HWY STE 103, Chattanooga, TN 37421
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Secondary Practice Location 1

Location 1281 N Lyerly St Ste 100Chattanooga, TN 37404-2747 · Phone (423) 698-2229 · Fax (423) 495-2760

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Carroll Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Richard Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scenic City Pediatrics PLLC
5.6 mi
Pediatrics
281 N LYERLY ST STE 100
Chattanooga, TN 37404
  • Reassigned Medicare billing, Tennessee enrollment
  • 10 clinicians in this Medicare group
NPI 1811719644 (423) 698-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 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
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Richard Carroll's NPI number?

The NPI number for Richard Carroll is 1306821491. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Where is Richard Carroll located?

Richard Carroll practices at 6787 Lee Hwy Ste 103, Chattanooga, TN 37421. The listed phone number is (423) 698-2229.

What is Richard Carroll's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Richard Carroll enrolled in Medicare?

Yes. Richard Carroll is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Carroll reassigns Medicare benefits to Scenic City Pediatrics PLLC (Chattanooga, TN). The 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 Richard Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Carroll accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Richard 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 Richard Carroll was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.