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MARIA C CARROLL M.D.
NPI 1437268661
Dermatology in Traverse City, MI

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
550 MUNSON AVE, SUITE 200, TRAVERSE CITY, MI 49686(231) 935-8717(231) 935-9230 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maria C Carroll M.d. NPPES

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

MARIA C CARROLL M.D. (NPI 1437268661) is an individual dermatology provider in Traverse City, Michigan, licensed in Michigan (4301077553) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Wayne State University School Of Medicine (1997).

NPPES Registry Identity

NPI1437268661
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMARIA C CARROLLCredential: M.D.
Location Address550 MUNSON AVE, SUITE 200Traverse City, MI 49686
Mailing Address550 Munson Ave, Suite 200Traverse City, MI 49686 · (231) 935-8717 · Fax (231) 935-9230
Phone(231) 935-8717
Fax(231) 935-9230
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1997
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 4, 2013
✔ NPI 1437268661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301077553
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
550 MUNSON AVE, SUITE 200, Traverse City, MI 49686
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Other Identifiers 7

OtherM008816Tricare
Other0702803192MI · Blue Cross Blue Shield
Other38-2170687MI · Priority Health
Other070010119MI · Railroad Medicare
Medicare ID-Type UnspecifiedP20650002MI
Medicaid4317989MI
Medicare UPINH40410MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Maria C 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 ID8820027709
PECOS Enrollment IDI20051005000546
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 Maria Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwestern Michigan Dermatology PC
0.1 mi
Dermatology
550 MUNSON AVE, SUITE 200
Traverse City, MI 49686
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Northwestern Michigan Dermatology P.C.
  • 3 clinicians in this Medicare group
NPI 1952410094 (231) 935-8717

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 10

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,496 services185 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.
500 services340 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
312 services214 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
172 services139 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
145 services108 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
131 services116 patients

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49686 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.48
Promoting Interoperability98
Improvement Activities40
Cost53.82

Other Providers at the Same Location NPPES 2

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

PAULA L CAHILL M.D.
Dermatology
550 MUNSON AVE, SUITE 200
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 935-8717
MARK R. POMARANSKI M.D.
Dermatology (MOHS-Micrographic Surgery)
550 MUNSON AVE, SUITE 200
TRAVERSE CITY, MI 49686
Grand Traverse County (231) 935-8717

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 Maria Carroll's NPI number?

The NPI number for Maria Carroll is 1437268661. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Maria Carroll located?

Maria Carroll practices at 550 Munson Ave, Suite 200, Traverse City, MI 49686. The listed phone number is (231) 935-8717.

What is Maria Carroll's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Maria Carroll enrolled in Medicare?

Yes. Maria 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 organization bills Medicare for Maria Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Carroll reassigns Medicare benefits to Northwestern Michigan Dermatology PC (Traverse City, MI). 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 Maria Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Carroll accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Maria 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 Maria Carroll affiliated with any hospitals?

According to CMS data, Maria Carroll is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Carroll was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.