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

Q: 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.

Q: What is Chad Carroll's specialty?

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

Q: 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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

Quality

87.07

Improvement Activities

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