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NEIL J CARROLL MD
NPI 1427348507
Family Medicine in Baker City, OR

Active since April 11, 2011PECOS EnrolledAccepts Medicare Assignment
3950 17TH ST, BAKER CITY, OR 97814(541) 523-1001(541) 523-1152 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Neil J Carroll Md NPPES

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

NEIL J CARROLL MD (NPI 1427348507) is an individual family medicine provider in Baker City, Oregon, licensed in Oregon (MD167452) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2011).

NPPES Registry Identity

NPI1427348507
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNEIL J CARROLLCredential: MD
Location Address3950 17TH STBaker City, OR 97814-1300
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Phone(541) 523-1001
Fax(541) 523-1152
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2011
Enumeration DateApril 11, 2011
Last NPPES UpdateSeptember 26, 2014
✔ NPI 1427348507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD167452
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3950 17TH ST, Baker City, OR 97814
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Other Identifiers 1

Medicare PINR175973OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Neil J 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 ID8527217017
PECOS Enrollment IDI20140807001069
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 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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
285 services217 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
118 services55 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
23 services22 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St. Alphonsus Medical Center - Baker City

Critical Access Hospitals · Baker City, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381315
Location3325 Pocahontas RoadBaker City, OR 97814 · Baker County
Emergency services

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381321
Location900 Sunset DriveLa Grande, OR 97850 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97814 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers41 claims111 services$5.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers16 claims16 services$0.93 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers16 claims16 services$39.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers16 claims16 services$111.75 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier17 claims42 services$40.75 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers17 claims17 services$22.50 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 16

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

LAUREN ZINK RD, LD
Dietitian, Registered
3950 17TH ST, ST # A
BAKER CITY, OR 97814
Baker County (541) 523-1001
EASTERN OREGON MEDICAL ASSOCIATES,LLC
Family Medicine
3950 17TH ST, SUITE A
BAKER CITY, OR 97814
Baker County (541) 523-1001
MRS. DEBORAH J VENCILL NP
Nurse Practitioner (Family)
3950 17TH ST, SUITE A
BAKER CITY, OR 97814
Baker County (541) 523-1001
MR. J DANIEL SMITHSON MD
Family Medicine
3950 17TH ST, SUITE A
BAKER CITY, OR 97814
Baker County (541) 523-1001
MR. MONTE W. ANDERSON PA-C
Physician Assistant (Medical)
3950 17TH ST, STE A
BAKER CITY, OR 97814
Baker County (541) 523-1001
COLLEEN M MCDONALD
Social Worker (Clinical)
3950 17TH ST
BAKER CITY, OR 97814
Baker County (541) 523-1001
KAREN C ANDRUSS NP
Nurse Practitioner (Family)
3950 17TH ST, SUITE A
BAKER CITY, OR 97814
Baker County (541) 523-1001
DEVIN S BOWMAN PA
Physician Assistant
3950 17TH ST, SUITE A
BAKER CITY, OR 97814
Baker County (541) 523-1001

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 Neil Carroll's NPI number?

The NPI number for Neil Carroll is 1427348507. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Neil Carroll located?

Neil Carroll practices at 3950 17th St, Baker City, OR 97814. The listed phone number is (541) 523-1001.

What is Neil Carroll's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Neil Carroll enrolled in Medicare?

Yes. Neil 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 Neil Carroll accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Neil 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 Neil Carroll affiliated with any hospitals?

According to CMS data, Neil Carroll is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center, St. Alphonsus Medical Center - Baker City and Grande Ronde Hospital.

When was this NPI record last updated?

The NPPES record for Neil Carroll was last updated on September 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.