JAMES L CARROLL JR. MD
NPI 1346227956
Internal Medicine - Pulmonary Disease in Lebanon, NH

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
76.01/100
CMS Quality Rating
1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-5533 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James L Carroll Jr. Md NPPES

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

JAMES L CARROLL JR. MD (NPI 1346227956) is an individual pulmonary disease provider in Lebanon, New Hampshire, licensed in New Hampshire (14450) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1994).

NPPES Registry Identity

NPI1346227956
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJAMES L CARROLL JR.Credential: MD
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-1000
Mailing Address1 Medical Center DrLebanon, NH 03756-1000 · (603) 650-5533
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1994
Enumeration DateDecember 23, 2005
Last NPPES UpdateJuly 12, 2011
NPI 1346227956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in NH · 14450 Licensed in IA · 31001
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 31001 (IA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 31001 (IA), 14450 (NH)
1 MEDICAL CENTER DR, Lebanon, NH 03756

Other Identifiers 8

Medicaid0266916IA
Medicaid30208953NH
Other47887IA · Wellmark Bcbs
Medicare UPINH61991
Medicaid1016700VT
Medicare PIN001252901NH
Medicare PINI6482IA
Medicare PIN110237207IA

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

James L Carroll Jr. 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 ID5890831879
PECOS Enrollment IDI20091005000566
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 9

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.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
141 services139 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
115 services114 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
110 services75 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
107 services41 patients
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.
91 services76 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

76.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.31
Promoting Interoperability100
Improvement Activities40
Cost54.74

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier39 claims39 services$19.63 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers35 claims35 services$875.56 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers22 claims22 services$8.84 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
10 suppliers127 claims130 services$108.58 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
7 suppliers52 claims52 services$36.44 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
9 suppliers62 claims8,130 services$0.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756

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 James Carroll's NPI number?

The NPI number for James Carroll is 1346227956. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is James Carroll located?

James Carroll practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5533.

What is James Carroll's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is James Carroll enrolled in Medicare?

Yes. James 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 James Carroll accept?

Health plans from Ambetter from NH Healthy Families list James 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 James Carroll affiliated with any hospitals?

According to CMS data, James Carroll is affiliated with Mary Hitchcock Memorial Hospital, Cheshire Medical Center, New London Hospital and Alice Peck Day Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Carroll was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.