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ELAINE MARIE CARROLL MD
NPI 1598739492
Obstetrics & Gynecology in Pontiac, IL

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
1508 W REYNOLDS ST, PONTIAC, IL 61764(815) 844-4611 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 20, 2022, Aug 5, 2019, Jun 27, 2018 and 2 more (5 updates tracked since 2016).

About Elaine Marie Carroll Md NPPES

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

ELAINE MARIE CARROLL MD (NPI 1598739492) is an individual obstetrics & gynecology provider in Pontiac, Illinois, licensed in Illinois (36085505) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1598739492
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameELAINE MARIE CARROLLCredential: MD
Location Address1508 W REYNOLDS STPontiac, IL 61764-2811
Mailing Address611 W Park StUrbana, IL 61801-2529
Phone(815) 844-4611
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateFebruary 15, 2006
Last NPPES UpdateApril 20, 20225 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1598739492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 36085505
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X · License 01076901A (IN), 036085505 (IL)
1508 W REYNOLDS ST, Pontiac, IL 61764
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111123 Parkview Plaza Dr, Ste 203Fort Wayne, IN 46845-1707 · Phone (260) 266-8380 · Fax (260) 266-8385
Location 2100 Navarre Pl Ste 4410South Bend, IN 46601 · Phone (574) 647-1650 · Fax (574) 647-1655

Other Identifiers 5

Other206147IL · Medicare Ptan (group)
Medicaid036085505IL
Other206147098IL · Medicare Ptan (individual)
Other181980007IN · Medicare Ptan
Medicaid200265610IN

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

Elaine Marie 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 ID8527094937
PECOS Enrollment IDI20050715000915
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

3

Medicare enrollment records show Elaine Carroll reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle West Physician Group Inc
32 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Carle Health Medical Group
57 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Richland Memorial Hospital, Inc.
150 mi
Rural Health
1200 N EAST ST
Olney, IL 62450
  • Reassigned Medicare billing, Illinois enrollment
  • 301 clinicians in this Medicare group
NPI 1053792689 (618) 392-2940

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 61764 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Elaine Carroll's NPI number?

The NPI number for Elaine Carroll is 1598739492. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Elaine Carroll located?

Elaine Carroll practices at 1508 W Reynolds St, Pontiac, IL 61764. The listed phone number is (815) 844-4611.

What is Elaine Carroll's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Elaine Carroll enrolled in Medicare?

Yes. Elaine 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 Elaine Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaine Carroll reassigns Medicare benefits to 3 organizations: Carle West Physician Group Inc (Normal, IL), Carle Health Medical Group (Urbana, IL) and Richland Memorial Hospital, Inc. (Olney, IL). 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 Elaine Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elaine Carroll was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.