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KARISA M CARROLL MD
NPI 1396207163
Obstetrics & Gynecology in Punta Gorda, FL

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating
713 E MARION AVE STE 139, PUNTA GORDA, FL 33950(941) 833-1750 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2026, Dec 16, 2025, Dec 1, 2025 and 3 more (6 updates tracked since 2019).

About Karisa M Carroll Md NPPES

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

KARISA M CARROLL MD (NPI 1396207163) is an individual obstetrics & gynecology provider in Punta Gorda, Florida, licensed in Florida (ME159963) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Florida State University College Of Medicine (2019).

NPPES Registry Identity

NPI1396207163
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKARISA M CARROLLCredential: MD
Location Address713 E MARION AVE STE 139Punta Gorda, FL 33950-3863
Mailing Address713 E Marion Ave Ste 139Punta Gorda, FL 33950-3863 · (941) 833-1750
Phone(941) 833-1750
Sole ProprietorYes
Medical School CMSFlorida State University College Of MedicineGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateJanuary 7, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1396207163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME159963
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
713 E MARION AVE STE 139, Punta Gorda, FL 33950
Open in Google Maps ↗

Other Names 1

Former Name (1)Karisa M Brown Md

Other Identifiers 1

Medicaid119169600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Karisa M Carroll 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 ID7517298177
PECOS Enrollment IDI20230822001825
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 Reassignments

3

Medicare enrollment records show Karisa Carroll reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System
24 mi
Federally Qualified Health Center (FQHC)
3210 DR MARTIN LUTHER KING BLVD
Fort Myers, FL 33916
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1447099973 (239) 343-6050
Lee Health System Inc
30 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Florida Hospital Physician Group Inc
82 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766

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

Areas of Expertise CMS Part B claims 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
35 services35 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.
34 services28 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
21 services21 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100077
Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33950 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.34
Promoting Interoperability100
Improvement Activities40
Cost55.23

Other Providers at the Same Location NPPES 5

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

JENNIFER D'ABARNO M.D.
Obstetrics & Gynecology
713 E MARION AVE STE 139
PUNTA GORDA, FL 33950
Charlotte County (941) 205-2666
DR. RUBEN GUZMAN M.D.
Obstetrics & Gynecology
713 E MARION AVE STE 139
PUNTA GORDA, FL 33950
Charlotte County (941) 205-2666
CARRIE ELIZABETH INGRAM RN, MSN, APRN
Nurse Practitioner (Psychiatric/Mental Health)
713 E MARION AVE STE 139
PUNTA GORDA, FL 33950
Charlotte County (941) 833-1750
DR. PAMELA KAY FADNESS M.D.
Psychiatry & Neurology (Psychiatry)
713 E MARION AVE STE 139
PUNTA GORDA, FL 33950
Charlotte County (941) 833-1750
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Obstetrics & Gynecology
713 E MARION AVE STE 139
PUNTA GORDA, FL 33950
Charlotte County (941) 833-1760

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 Karisa Carroll's NPI number?

The NPI number for Karisa Carroll is 1396207163. It was assigned to this individual provider in the NPPES registry on April 2, 2019. The provider is also known as Karisa M Brown MD.

Where is Karisa Carroll located?

Karisa Carroll practices at 713 E Marion Ave Ste 139, Punta Gorda, FL 33950. The listed phone number is (941) 833-1750.

What is Karisa Carroll's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karisa Carroll enrolled in Medicare?

Yes. Karisa 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.

Which organizations bill Medicare for Karisa Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karisa Carroll reassigns Medicare benefits to 3 organizations: Lee Memorial Health System (Fort Myers, FL), Lee Health System Inc (Fort Myers, FL) and Florida Hospital Physician Group Inc (Tampa, FL). Each 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 Karisa Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karisa Carroll accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Karisa 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 Karisa Carroll affiliated with any hospitals?

According to CMS data, Karisa Carroll is affiliated with Lee Memorial Hospital and Shorepoint Health Port Charlotte.

When was this NPI record last updated?

The NPPES record for Karisa Carroll was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.