THOMAS JOHN CARROLL MD
NPI 1609403146
Orthopaedic Surgery - Hand Surgery in Burlington, MA
About Thomas John Carroll Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS JOHN CARROLL MD (NPI 1609403146) is an individual hand surgery provider in Burlington, Massachusetts, licensed in Massachusetts (1027844) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Thomas John 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.
Medicare Billing Reassignments
2Medicare enrollment records show Thomas Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burlington, MA 01805
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1063447316 (Massachusetts)
- 1,574 clinicians in this Medicare group
Rochester, MN 55905
- Reassigned Medicare billing, Minnesota enrollment
- 6,534 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Hospital Rochester
Acute Care Hospitals · Rochester, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Thomas Carroll's NPI number?
The NPI number for Thomas Carroll is 1609403146. It was assigned to this individual provider in the NPPES registry on March 25, 2020.
Where is Thomas Carroll located?
Thomas Carroll practices at 67 S Bedford St Ste 200, Burlington, MA 01803. The listed phone number is (781) 744-8000.
What is Thomas Carroll's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.
Is Thomas Carroll enrolled in Medicare?
Yes. Thomas 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 Thomas Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Carroll reassigns Medicare benefits to 2 organizations: Lahey Clinic, Inc. (Burlington, MA) and Mayo Clinic (Rochester, MN). 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 Thomas Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Carroll accept?
Health plans from Anthem Blue Cross and Blue Shield list Thomas 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 Thomas Carroll affiliated with any hospitals?
According to CMS data, Thomas Carroll is affiliated with Mayo Clinic Hospital Rochester.
When was this NPI record last updated?
The NPPES record for Thomas Carroll was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 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.
# Thomas John Carroll, MD · NPI 1609403146
Hand Surgery physician in Burlington, Massachusetts. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1609403146 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Orthopaedic Surgery - Hand Surgery · taxonomy 207XS0106X
- **State license:** 1027844 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 67 S BEDFORD ST STE 200, Burlington, MA 01803-5108
- **Phone:** (781) 744-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lahey Clinic, Inc. (NPI 1538194980, Burlington, MA); Mayo Clinic (NPI 1114343860, Rochester, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1609403146) · Data from the CMS NPPES public registry.