Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DANIEL JOHN-MARTIN CARROLL MD
NPI 1487093399
Otolaryngology in Avon, IN

Active since June 25, 2013PECOS Enrolled
7388 BUSINESS CENTER DR, AVON, IN 46123(888) 938-3838(888) 919-1083 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2024, Nov 30, 2018 (2 updates tracked since 2018).

About Daniel John-martin Carroll Md NPPES

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

DANIEL JOHN-MARTIN CARROLL MD (NPI 1487093399) is an individual otolaryngology provider in Avon, Indiana, licensed in Indiana (01092672A) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1487093399
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDANIEL JOHN-MARTIN CARROLLCredential: MD
Location Address7388 BUSINESS CENTER DRAvon, IN 46123-6973
Mailing Address10001 W Innovation Dr Ste 200Milwaukee, WI 53226-4851 · (888) 938-3838 · Fax (888) 919-1083
Fax(888) 919-1083
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 25, 2013
Last NPPES UpdateOctober 19, 20262 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1487093399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in IN · 01092672A✔ Licensed in MN · 64776
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
7388 BUSINESS CENTER DR, Avon, IN 46123

Secondary Practice Locations 2

Location 19500 Priority Way West Dr Ste 100Indianapolis, IN 46240-1472 · Phone (888) 938-3838 · Fax (888) 919-1083
Location 26920 S East St Ste BIndianapolis, IN 46227-2215 · Phone (888) 938-3838 · Fax (888) 919-1083

Accepted 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

Daniel John-martin 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 ID2466751755
PECOS Enrollment IDI20240311000240
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 Daniel Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sleep Medicine
53760 GENERATIONS DR
South Bend, IN 46635
  • Reassigned Medicare billing, Indiana enrollment
  • 9 clinicians in this Medicare group

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 8

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.

Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
53 services53 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.
43 services40 patients
Removal or destruction of growth of nose through nose 30117
This procedure involves removing or destroying a growth in the nose. It's done through the nostrils, so no external cuts are made. The growth could be a polyp, cyst, or other abnormal tissue. It helps improve breathing and reduces discomfort or other symptoms caused by the growth.
37 services35 patients
Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
36 services36 patients
Dilation of nasal sinus using an endoscope 31295
Dilation of the nasal sinus using an endoscope is a procedure to improve sinus drainage. A small tube with a camera, called an endoscope, is inserted into the nose. A balloon is then inflated to widen the sinus openings. This helps to relieve sinus pressure and symptoms.
34 services34 patients
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.
30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
7388 BUSINESS CENTER DR
AVON, IN 46123
Otolaryngology
7388 BUSINESS CENTER DR
AVON, IN 46123
Physical Therapist
7388 BUSINESS CENTER DR
AVON, IN 46123
Physician Assistant
7388 BUSINESS CENTER DR
AVON, IN 46123
Physician Assistant
7388 BUSINESS CENTER DR
AVON, IN 46123

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 Daniel Carroll's NPI number?

The NPI number for Daniel Carroll is 1487093399. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Daniel Carroll located?

Daniel Carroll practices at 7388 Business Center Dr, Avon, IN 46123. The listed phone number is (888) 938-3838.

What is Daniel Carroll's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Daniel Carroll enrolled in Medicare?

Yes. Daniel 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 Daniel Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Carroll reassigns Medicare benefits to Center For Sleep And Nasal Sinus Disorders, LLC (South Bend, IN). 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 Daniel Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Carroll accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and UnitedHealthcare list Daniel 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 Daniel Carroll was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.