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ERIN CARROLL
NPI 1457939654
Pediatrics in Somerville, MA

Active since March 30, 2021PECOS Enrolled
236 HIGHLAND AVE STE 1, SOMERVILLE, MA 02143(617) 591-4440 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2024, Mar 30, 2021 (2 updates tracked since 2021).

About Erin Carroll NPPES

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

ERIN CARROLL (NPI 1457939654) is an individual pediatrics provider in Somerville, Massachusetts, licensed in Massachusetts (1018243) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457939654
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameERIN CARROLL
Location Address236 HIGHLAND AVE STE 1Somerville, MA 02143-1495
Mailing Address257 North RdSudbury, MA 01776-1109 · (508) 737-4376
Phone(617) 591-4440
Sole ProprietorNo
Enumeration DateMarch 30, 2021
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1457939654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 1018243
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
236 HIGHLAND AVE STE 1, Somerville, MA 02143
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Secondary Practice Locations 2

Location 1330 Brookline AveBoston, MA 02215-5400 · Phone (617) 667-3276
Location 21493 Cambridge StCambridge, MA 02139-1047 · Phone (617) 665-1552

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Carroll is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Erin Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cambridge Public Health Commission
1.1 mi
General Acute Care Hospital
1493 CAMBRIDGE ST, PROVIDER ENROLLMENT
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 719 clinicians in this Medicare group
NPI 1932313228 (617) 665-1000
Emerson Practice Associates, Inc.
14 mi
Internal Medicine
133 OLD ROAD TO NINE ACRE CORNER
Concord, MA 01742
  • Reassigned Medicare billing, Massachusetts enrollment
  • 451 clinicians in this Medicare group
NPI 1508020199 (978) 287-3022

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02143 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Erin Carroll's NPI number?

The NPI number for Erin Carroll is 1457939654. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Erin Carroll located?

Erin Carroll practices at 236 Highland Ave Ste 1, Somerville, MA 02143. The listed phone number is (617) 591-4440.

What is Erin Carroll's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Erin Carroll enrolled in Medicare?

Yes. Erin Carroll is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Erin Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Carroll reassigns Medicare benefits to 2 organizations: Cambridge Public Health Commission (Cambridge, MA) and Emerson Practice Associates, Inc. (Concord, MA). 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 Erin Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Carroll accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Erin 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.

When was this NPI record last updated?

The NPPES record for Erin Carroll was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.