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CHAD E CARROLL D.O.
NPI 1598024754
Family Medicine in Pikeville, KY

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
184 S MAYO TRL, PIKEVILLE, KY 41501(606) 218-4800(606) 218-4810 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Chad E Carroll D.o. NPPES

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

CHAD E CARROLL D.O. (NPI 1598024754) is an individual family medicine provider in Pikeville, Kentucky, licensed in Kentucky (03722) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Paul B Hall Regional Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2012).

NPPES Registry Identity

NPI1598024754
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHAD E CARROLLCredential: D.O.
Location Address184 S MAYO TRLPikeville, KY 41501-1518
Mailing AddressPo Box 2917Pikeville, KY 41502-2917 · (606) 218-4800 · Fax (606) 218-4810
Phone(606) 218-4800
Fax(606) 218-4810
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2012
Enumeration DateMay 9, 2012
Last NPPES UpdateMay 21, 2015
✔ NPI 1598024754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 03722
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 03722 (KY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
184 S MAYO TRL, Pikeville, KY 41501
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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

Chad E Carroll D.o. 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 ID6406074889
PECOS Enrollment IDI20140826002918
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

6

Medicare enrollment records show Chad Carroll reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Williamson Emergency Physicians LLC
19 mi
Emergency Medicine
260 HOSPITAL DR
South Williamson, KY 41503
  • Reassigned Medicare billing, Kentucky enrollment
  • 65 clinicians in this Medicare group
NPI 1740492644 (606) 237-1700
Combs Mountain Emergency Group, LLC
28 mi
Emergency Medicine
625 JAMES TRIMBLE BLVD
Paintsville, KY 41240
  • Reassigned Medicare billing, Kentucky enrollment
  • 17 clinicians in this Medicare group
NPI 1629603527 (606) 789-3511
Southern Medical Partners, LLC
38 mi
Emergency Medicine
100 MEDICAL CENTER DRIVE
Hazard, KY 41701
  • Reassigned Medicare billing, Kentucky enrollment
  • 153 clinicians in this Medicare group
NPI 1538109962 (606) 439-6651
Hyden Emergency Physicians, LLC
51 mi
Emergency Medicine
130 KATE IRELAND DR
Hyden, KY 41749
  • Reassigned Medicare billing, Kentucky enrollment
  • 45 clinicians in this Medicare group
NPI 1497036776 (877) 693-5700
Middlesborough Emergency Physicians LLC
90 mi
Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 57 clinicians in this Medicare group
NPI 1972715878 (606) 237-1700
Green Valley Emergency Physicians, LLC
338 mi
Emergency Medicine
1530 LONE OAK RD
Paducah, KY 42003
  • Reassigned Medicare billing, Kentucky enrollment
  • 220 clinicians in this Medicare group
NPI 1720755739 (271) 444-2444

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
75 services65 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
74 services66 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Paul B Hall Regional Medical Center

Acute Care Hospitals · Paintsville, KY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number180078
Location625 James S Trimble BoulevardPaintsville, KY 41240 · Johnson County
Emergency services

Morgan County Arh Hospital

Critical Access Hospitals · West Liberty, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181307
Location476 Liberty RoadWest Liberty, KY 41472 · Morgan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.07
Improvement Activities40

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.

JOHN RYAN MORRIS DO
Student in an Organized Health Care Education/Training Program
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 430-2213
BRITTANY ANN NICOLE FAIRCHILD DO
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 218-3985
MALESHEA Y HOPKINS DO
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 430-2213
DR. JOE EAGLE KINGERY D.O.
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 430-2213
ANTOINETTE JUSTICE D.O.
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 218-4800
DR. THOMAS B WEISS DO
Internal Medicine (Nephrology)
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 430-2213
TEANNA J MOORE D.O.
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 218-4800
LAURA E GRIFFIN D.O.
Family Medicine
184 S MAYO TRL
PIKEVILLE, KY 41501
Pike County (606) 218-4800

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 Chad Carroll's NPI number?

The NPI number for Chad Carroll is 1598024754. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Chad Carroll located?

Chad Carroll practices at 184 S Mayo Trl, Pikeville, KY 41501. The listed phone number is (606) 218-4800.

What is Chad Carroll's specialty?

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

Is Chad Carroll enrolled in Medicare?

Yes. Chad 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 organizations bill Medicare for Chad Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chad Carroll reassigns Medicare benefits to 6 organizations: Williamson Emergency Physicians LLC (South Williamson, KY), Combs Mountain Emergency Group, LLC (Paintsville, KY), Southern Medical Partners, LLC (Hazard, KY), Hyden Emergency Physicians, LLC (Hyden, KY), Middlesborough Emergency Physicians LLC (Middlesboro, KY) and 1 more organization, listed in the Medicare section above. 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 Chad Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Chad Carroll affiliated with any hospitals?

According to CMS data, Chad Carroll is affiliated with Paul B Hall Regional Medical Center and Morgan County Arh Hospital.

When was this NPI record last updated?

The NPPES record for Chad Carroll was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.