MR. MATTHEW L. CARROLL P.A.
NPI 1346595014
Physician Assistant in Germantown, TN

Active since July 19, 2012PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
1400 S GERMANTOWN RD, GERMANTOWN, TN 38138(901) 759-3100(901) 759-3196 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2022, Jan 18, 2022, Sep 27, 2021 and 1 more (4 updates tracked since 2017).

About Mr. Matthew L. Carroll P.a. NPPES

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

MR. MATTHEW L. CARROLL P.A. (NPI 1346595014) is an individual physician assistant in Germantown, Tennessee, licensed in Tennessee (3366) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1346595014
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MATTHEW L. CARROLLCredential: P.A.
Location Address1400 S GERMANTOWN RDGermantown, TN 38138-2205
Mailing Address1400 S Germantown RdGermantown, TN 38138-2205 · (901) 759-3100 · Fax (901) 759-3196
Fax(901) 759-3196
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 19, 2012
Last NPPES UpdateOctober 7, 20224 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1346595014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TN · 3366 Licensed in SC · MPA.1778.TL Licensed in OR · PA180137 Licensed in MS · PA00386 Licensed in TN · 3336 Licensed in LA · 200682
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1400 S GERMANTOWN RD, Germantown, TN 38138

Other Identifiers 5

MedicaidQ031131TN
Medicaid07004261MS
Other1102675Nccpa
Medicaid2351991LA
OtherMPA.1778.TLSC · South Carolina Pa License

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

Mr. Matthew L. Carroll P.a. 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 ID4486802972
PECOS Enrollment IDI20180130000257, I20181206001095
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 27

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,402 services205 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
451 services262 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.
297 services204 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
195 services143 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.
112 services112 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.
108 services104 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38138 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.72
Promoting Interoperability90
Improvement Activities40
Cost60.14

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.

Orthopaedic Surgery
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Orthopaedic Surgery
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Orthopaedic Surgery
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Specialist/Technologist (Athletic Trainer)
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Physician Assistant
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Physical Therapist
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Orthopaedic Surgery (Foot and Ankle Surgery)
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138
Family Medicine (Sports Medicine)
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138

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 Matthew Carroll's NPI number?

The NPI number for Matthew Carroll is 1346595014. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Matthew Carroll located?

Matthew Carroll practices at 1400 S Germantown Rd, Germantown, TN 38138. The listed phone number is (901) 759-3100.

What is Matthew Carroll's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Matthew Carroll enrolled in Medicare?

Yes. Matthew 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 Matthew Carroll accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 6 other insurers list Matthew 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 Matthew Carroll affiliated with any hospitals?

According to CMS data, Matthew Carroll is affiliated with Baptist Memorial Hospital and Baptist Memorial Hospital Tipton.

When was this NPI record last updated?

The NPPES record for Matthew Carroll was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.