MARK PHILP CARROLL JR. M.D.
NPI 1437121597
Family Medicine in Colorado Springs, CO

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
28.87/100
CMS Quality Rating
9320 GRAND CORDERA PARKWAY, SUITE 100, COLORADO SPRINGS, CO 80924(719) 282-6337(719) 282-0532 Get Directions Write a Review

NPPES record last updated: December 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Philp Carroll Jr. M.d. NPPES

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

MARK PHILP CARROLL JR. M.D. (NPI 1437121597) is an individual family medicine provider in Colorado Springs, Colorado, licensed in Colorado (DR.0045118) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1999).

NPPES Registry Identity

NPI1437121597
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK PHILP CARROLL JR.Credential: M.D.
Location Address9320 GRAND CORDERA PARKWAY, SUITE 100Colorado Springs, CO 80924
Mailing Address9320 Grand Cordera Parkway, Suite 100Colorado Springs, CO 80924 · (719) 282-6337 · Fax (719) 282-0532
Fax(719) 282-0532
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 1999
Enumeration DateFebruary 3, 2006
Last NPPES UpdateDecember 18, 2019
NPI 1437121597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · DR.0045118
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.
9320 GRAND CORDERA PARKWAY, Colorado Springs, CO 80924

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

Mark Philp Carroll Jr. 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 ID6204936362
PECOS Enrollment IDI20070703000346
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 66

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.
2,970 services1,326 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.
2,140 services1,138 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
814 services814 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
504 services224 patients
Ultrasound of one side of head and neck blood flow 93882
An ultrasound of one side of the head and neck blood flow is a non-invasive procedure that uses sound waves to create images of blood vessels. It helps identify any blockages or abnormalities in blood flow, aiding in early detection of potential health issues.
478 services470 patients
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.
449 services385 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80924 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

28.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities40
Cost46.24

Referred Medical Equipment & Supplies CMS DME claims 23

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
12 suppliers38 claims125 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims16 services$1.11 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$6.69 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
2 suppliers14 claims104 services$1.54 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers59 claims59 services$33.36 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers64 claims64 services$69.61 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 6

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

Ophthalmology
9320 GRAND CORDERA PARKWAY, SUITE 255
COLORADO SPRINGS, CO 80924
Physician Assistant (Medical)
9320 GRAND CORDERA PARKWAY, SUITE 100
COLORADO SPRINGS, CO 80924
Internal Medicine
9320 GRAND CORDERA PARKWAY, SUITE 100
COLORADO SPRINGS, CO 80924
Nurse Practitioner (Family)
9320 GRAND CORDERA PARKWAY, SUITE 100
COLORADO SPRINGS, CO 80924
Nurse Anesthetist, Certified Registered
9320 GRAND CORDERA PARKWAY, SUITE 200
COLORADO SPRINGS, CO 80924
Clinic/Center (Ambulatory Surgical)
9320 GRAND CORDERA PARKWAY, SUITE 200
COLORADO SPRINGS, CO 80924

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 Mark Carroll's NPI number?

The NPI number for Mark Carroll is 1437121597. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Mark Carroll located?

Mark Carroll practices at 9320 Grand Cordera Parkway Suite 100, Colorado Springs, CO 80924. The listed phone number is (719) 282-6337.

What is Mark Carroll's specialty?

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

Is Mark Carroll enrolled in Medicare?

Yes. Mark 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 Mark Carroll was last updated on December 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.