MICHAEL CARROLL M.D.
NPI 1427053222
Radiology - Diagnostic Radiology in East Brunswick, NJ

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
80.19/100
CMS Quality Rating
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816(732) 390-0040(732) 390-1856 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Michael Carroll M.d. NPPES

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

MICHAEL CARROLL M.D. (NPI 1427053222) is an individual diagnostic radiology provider in East Brunswick, New Jersey, licensed in New Jersey (25MA06187500) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Eastern Virginia Medical School (1990).

NPPES Registry Identity

NPI1427053222
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMICHAEL CARROLLCredential: M.D.
Location Address579A CRANBURY RDEast Brunswick, NJ 08816-5426
Mailing Address579a Cranbury RdEast Brunswick, NJ 08816-5426 · (732) 390-0040 · Fax (732) 390-1856
Fax(732) 390-1856
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1990
Enumeration DateJune 17, 2005
Last NPPES UpdateNovember 25, 2014
NPI 1427053222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NJ · 25MA06187500
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
579A CRANBURY RD, East Brunswick, NJ 08816

Other Identifiers 2

Medicare ID-Type Unspecified636157NJ · Indiv Nj Medicare Number
Medicare UPING01906NJ

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

Michael 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 ID9931193190
PECOS Enrollment IDI20041123000284
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 60

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,100 services11 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
428 services419 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
322 services282 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
205 services200 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
165 services157 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
158 services157 patients

Hospital Affiliations CMS Care Compare 5

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

80.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
46%46 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,025 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%98 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%91 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Neuroradiology)
579A CRANBURY RD, UNIVERSITY RADIOLOGY GROUP PC
EAST BRUNSWICK, NJ 08816
Internal Medicine (Infectious Disease)
579A CRANBURY RD, SUITE 102
EAST BRUNSWICK, NJ 08816
Radiology (Diagnostic Radiology)
579A CRANBURY RD, UNIVERSITY RADIOLOGY GROUP PC
EAST BRUNSWICK, NJ 08816
Radiology (Diagnostic Radiology)
579A CRANBURY RD, UNIVERSITY RADIOLOGY GROUP PC
EAST BRUNSWICK, NJ 08816
Radiology (Vascular & Interventional Radiology)
579A CRANBURY RD
EAST BRUNSWICK, NJ 08816
Radiology (Diagnostic Radiology)
579A CRANBURY RD
EAST BRUNSWICK, NJ 08816
Nuclear Medicine
579A CRANBURY RD
EAST BRUNSWICK, NJ 08816
Radiology (Vascular & Interventional Radiology)
579A CRANBURY RD, UNIVERSITY RADIOLOGY GROUP PC
EAST BRUNSWICK, NJ 08816

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 Michael Carroll's NPI number?

The NPI number for Michael Carroll is 1427053222. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Michael Carroll located?

Michael Carroll practices at 579A Cranbury Rd, East Brunswick, NJ 08816. The listed phone number is (732) 390-0040.

What is Michael Carroll's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Carroll enrolled in Medicare?

Yes. Michael 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.

Is Michael Carroll affiliated with any hospitals?

According to CMS data, Michael Carroll is affiliated with Robert Wood Johnson University Hospital, Raritan Bay Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Carroll was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.