DR. TY B CARROLL MD
NPI 1558312942
Internal Medicine - Endocrinology, Diabetes & Metabolism in Madison, WI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
4621 EASTPARK BLVD, MADISON, WI 53718(608) 916-0300 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ty B Carroll Md NPPES

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

DR. TY B CARROLL MD (NPI 1558312942) is an individual endocrinology, diabetes & metabolism provider in Madison, Wisconsin, licensed in Wisconsin (46886) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Menomonee Falls.

NPPES Registry Identity

NPI1558312942
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. TY B CARROLLCredential: MD
Location Address4621 EASTPARK BLVDMadison, WI 53718-2000
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2002
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 2, 2025
NPPES CertifiedDecember 2, 2025
NPI 1558312942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in WI · 46886
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 46886 (WI)
4621 EASTPARK BLVD, Madison, WI 53718

Secondary Practice Location 1

Location 1W129N7055 Northfield Dr, DIVISION OF ENDOCRINOLOGYMenomonee Falls, WI 53051-0538 · Phone (262) 253-7155 · Fax (262) 253-7140

Other Identifiers 2

Other007806261EHumana
Medicaid1558312942WI

Accepted 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

Dr. Ty B 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 ID6901858554
PECOS Enrollment IDI20050211000546
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 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.

Established patient office or other outpatient visit, 30-39 minutes 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.
280 services204 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
178 services109 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.
137 services89 patients
Injection, zoledronic acid, 1 mg J3489
Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.
55 services11 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53718 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers27 claims338 services$17.79 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers27 claims925 services$2.37 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
56 suppliers155 claims754 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
26 suppliers52 claims131 services$1.04 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier12 claims12 services$284.35 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers236 claims241 services$186.00 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 20

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

Durable Medical Equipment & Medical Supplies
4621 EASTPARK BLVD
MADISON, WI 53718
Dietitian, Registered
4621 EASTPARK BLVD
MADISON, WI 53718
Pharmacy
4621 EASTPARK BLVD
MADISON, WI 53718
Genetic Counselor, MS
4621 EASTPARK BLVD
MADISON, WI 53718
Psychologist
4621 EASTPARK BLVD
MADISON, WI 53718
Physician Assistant (Medical)
4621 EASTPARK BLVD
MADISON, WI 53718
Nurse Practitioner
4621 EASTPARK BLVD
MADISON, WI 53718
Nurse Practitioner
4621 EASTPARK BLVD
MADISON, WI 53718

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 Ty Carroll's NPI number?

The NPI number for Ty Carroll is 1558312942. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Ty Carroll located?

Ty Carroll practices at 4621 Eastpark Blvd, Madison, WI 53718. The listed phone number is (608) 916-0300.

What is Ty Carroll's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Ty Carroll enrolled in Medicare?

Yes. Ty 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 Ty Carroll accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Network Health list Ty 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 Ty Carroll affiliated with any hospitals?

According to CMS data, Ty Carroll is affiliated with Waukesha Memorial Hospital, Froedtert South Inc. and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Ty Carroll was last updated on December 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.