1. Home
  2. Directory
  3. California
  4. San Francisco
  5. Urology
  6. NPI Profile

DR. PETER R. CARROLL M.D.
NPI 1366461667
Urology in San Francisco, CA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1600 DIVISADERO ST FL 3, SAN FRANCISCO, CA 94115(415) 353-7171(415) 353-7093 Get Directions Write a Review

NPPES record last updated: July 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter R. Carroll M.d. NPPES

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

DR. PETER R. CARROLL M.D. (NPI 1366461667) is an individual urology provider in San Francisco, California, licensed in California (A35750) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1979).

NPPES Registry Identity

NPI1366461667
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. PETER R. CARROLLCredential: M.D.
Location Address1600 DIVISADERO ST FL 3San Francisco, CA 94115-3010
Mailing Address1600 Divisadero St, 3rd Floor Uro Onc PracticeSan Francisco, CA 94115 · (415) 353-7171 · Fax (415) 353-7093
Phone(415) 353-7171
Fax(415) 353-7093
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1979
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 24, 2008
✔ NPI 1366461667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · A35750
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1600 DIVISADERO ST FL 3, San Francisco, CA 94115
Open in Google Maps ↗

Other Identifiers 3

Medicaid00A357500CA
Medicare PIN00A357500CA
Medicare UPINA27896CA

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

Dr. Peter R. 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 ID4789767443
PECOS Enrollment IDI20080219000296
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 8

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.
235 services186 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.
157 services136 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.
100 services100 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.
86 services86 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
54 services44 patients
Surgical removal of prostate and surrounding lymph nodes using an endoscope 55866
This is a minimally invasive procedure where a small camera (endoscope) is used to remove a gland located in the lower body and nearby small filtering structures. It's done to prevent the spread of unwanted cells and improve overall health.
48 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94115 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier19 claims1,056 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier26 claims1,806 services$6.21 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER L SCHUTZMAN MD
Internal Medicine (Medical Oncology)
1600 DIVISADERO ST FL 3, UCSF-HELEN DILLER FAMILY COMPREHENSIVE CANCER CENTER
SAN FRANCISCO, CA 94115
San Francisco County (415) 353-7171
DR. KATSUTO SHINOHARA M.D.
Urology
1600 DIVISADERO ST FL 3
SAN FRANCISCO, CA 94115
San Francisco County (415) 353-7171
JESSE DAVID PASTERNAK
Surgery
1600 DIVISADERO ST FL 3, ENDOCRINE SURGICAL AND ONCOLOGY CLINIC
SAN FRANCISCO, CA 94115
San Francisco County (415) 353-7687
DR. MAXWELL V. MENG M.D.
Urology
1600 DIVISADERO ST FL 3
SAN FRANCISCO, CA 94115
San Francisco County (415) 353-7171

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 Peter Carroll's NPI number?

The NPI number for Peter Carroll is 1366461667. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Peter Carroll located?

Peter Carroll practices at 1600 Divisadero St Fl 3, San Francisco, CA 94115. The listed phone number is (415) 353-7171.

What is Peter Carroll's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Peter Carroll enrolled in Medicare?

Yes. Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Carroll was last updated on July 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.