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JOHN CARROLL M.D.
NPI 1376852301
Emergency Medicine in West Peoria, IL

Active since September 24, 2010PECOS Enrolled
2727 W HEADING AVE, WEST PEORIA, IL 61604(309) 648-1087 Get Directions Write a Review

NPPES record last updated: September 24, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John Carroll M.d. NPPES

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

JOHN CARROLL M.D. (NPI 1376852301) is an individual emergency medicine provider in West Peoria, Illinois, licensed in Illinois (036.064215) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376852301
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN CARROLLCredential: M.D.
Location Address2727 W HEADING AVEWest Peoria, IL 61604-4981
Mailing Address2727 W Heading AveWest Peoria, IL 61604-4981 · (309) 648-1087
Phone(309) 648-1087
Sole ProprietorYes
Enumeration DateSeptember 24, 2010
✔ NPI 1376852301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036.064215
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2727 W HEADING AVE, West Peoria, IL 61604
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Carroll M.d. 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 John Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs, Phs, Naihs, Shiprock Hospital
1,028 mi
General Acute Care Hospital
6 ROAD 7586
Bloomfield, NM 87413
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1760427587 (505) 368-6401

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 61604 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 John Carroll's NPI number?

The NPI number for John Carroll is 1376852301. It was assigned to this individual provider in the NPPES registry on September 24, 2010.

Where is John Carroll located?

John Carroll practices at 2727 W Heading Ave, West Peoria, IL 61604. The listed phone number is (309) 648-1087.

What is John Carroll's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Carroll enrolled in Medicare?

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

Which organization bills Medicare for John Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Carroll reassigns Medicare benefits to Dhhs, Phs, Naihs, Shiprock Hospital (Bloomfield, NM). 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 John Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Carroll was last updated on September 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.