JAMES R CARROLL MD
NPI 1609816735
Family Medicine in Mullins, SC

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
14.43/100
CMS Quality Rating
2845 E HIGHWAY 76, SUITE 2, MULLINS, SC 29574(843) 431-2730(843) 431-2735 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2016, Oct 31, 2016 (2 updates tracked since 2016).

About James R Carroll Md NPPES

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

JAMES R CARROLL MD (NPI 1609816735) is an individual family medicine provider in Mullins, South Carolina, licensed in South Carolina (10340) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mcleod Medical Center - Dillon, and is a graduate of Medical University Of South Carolina College Of Medicine (1980).

NPPES Registry Identity

NPI1609816735
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES R CARROLLCredential: MD
Location Address2845 E HIGHWAY 76, SUITE 2Mullins, SC 29574-6037
Mailing Address2845 E Highway 76, Suite 2Mullins, SC 29574-6037 · (843) 431-2730 · Fax (843) 431-2735
Fax(843) 431-2735
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1980
Enumeration DateJune 7, 2006
Last NPPES UpdateNovember 22, 20162 updates tracked since enumeration
NPI 1609816735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 10340
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.
2845 E HIGHWAY 76, Mullins, SC 29574

Other Identifiers 3

Medicare UPIND05777SC
Medicaid103408SC
Medicare PIN8328SC

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

James R 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 ID8820029754
PECOS Enrollment IDI20050830000636
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 13

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
3,142 services116 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
937 services369 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
720 services387 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
707 services148 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
601 services323 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
142 services79 patients

Hospital Affiliations CMS Care Compare 5

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

Mcleod Medical Center - Dillon

Acute Care Hospitals · Dillon, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420005
Location301 E Jackson Street PO Box 1327Dillon, SC 29536 · Dillon County
Emergency services Birthing friendly

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420051
Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County
Emergency services Birthing friendly

Musc Health Marion Medical Center

Acute Care Hospitals · Mullins, SC
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420055
Location2829 E Hwy 76Mullins, SC 29574 · Marion County
Emergency services

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29574 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

14.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost48.11

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers72 claims140 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims14 services$1.06 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims54 services$2.69 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$3.76 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims3,694 services$0.47 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers35 claims35 services$20.05 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 18

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

Pediatrics
2845 E HIGHWAY 76, SUITE 4
MULLINS, SC 29574
Nurse Practitioner (Pediatrics)
2845 E HIGHWAY 76, SUITE 5
MULLINS, SC 29574
Clinic/Center (Rural Health)
2845 E HIGHWAY 76, SUITE 4
MULLINS, SC 29574
Nurse Practitioner (Family)
2845 E HIGHWAY 76, SUITE 4
MULLINS, SC 29574
Obstetrics & Gynecology
2845 E HIGHWAY 76, SUITE 3
MULLINS, SC 29574
Clinic/Center (Rural Health)
2845 E HIGHWAY 76, SUITE 5
MULLINS, SC 29574
Clinic/Center (Rural Health)
2845 E HIGHWAY 76, SUITE 4
MULLINS, SC 29574
Specialist
2845 E HIGHWAY 76, SUITE 2
MULLINS, SC 29574

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 James Carroll's NPI number?

The NPI number for James Carroll is 1609816735. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is James Carroll located?

James Carroll practices at 2845 E Highway 76 Suite 2, Mullins, SC 29574. The listed phone number is (843) 431-2730.

What is James Carroll's specialty?

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

Is James Carroll enrolled in Medicare?

Yes. James 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 James Carroll accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list James 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 James Carroll affiliated with any hospitals?

According to CMS data, James Carroll is affiliated with Mcleod Medical Center - Dillon, Mcleod Regional Medical Center-Pee Dee, Musc Health Marion Medical Center, Grand Strand Regional Medical Center and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for James Carroll was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.