GRETTA CARROLL M.D.
NPI 1619358900
Family Medicine in Holloman Afb, NM

Active since June 12, 2015PECOS EnrolledAccepts Medicare Assignment
280 1ST ST, HOLLOMAN AFB, NM 88330(575) 572-7091 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gretta Carroll M.d. NPPES

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

GRETTA CARROLL M.D. (NPI 1619358900) is an individual family medicine provider in Holloman Afb, New Mexico, licensed in Nebraska (29856) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Creighton University School Of Medicine (2015).

NPPES Registry Identity

NPI1619358900
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGRETTA CARROLLCredential: M.D.
Location Address280 1ST STHolloman Afb, NM 88330-8273
Mailing Address280 1st StHolloman Afb, NM 88330-8273 · (575) 572-7091
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2015
Enumeration DateJune 12, 2015
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 19, 2022
NPI 1619358900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 29856
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.
280 1ST ST, Holloman Afb, NM 88330

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

Gretta Carroll M.d. 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 ID4981906427
PECOS Enrollment IDI20220719000780
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 5

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.

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.
197 services118 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
85 services85 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.
43 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Mercy Hospital Lincoln

Critical Access Hospitals · Troy, MO
OwnershipGovernment - Local
CMS Certification Number261319
Location1000 East Cherry StreetTroy, MO 63379 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88330 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

Dietitian, Registered
280 1ST ST, 49MDG/SGPZ
HOLLOMAN AFB, NM 88330
Dentist
280 1ST ST, BLDG 20
HOLLOMAN AFB, NM 88330
Counselor (Addiction (Substance Use Disorder))
280 1ST ST, 49 MEDICAL GROUP
HOLLOMAN AFB, NM 88330
Physical Therapist
280 1ST ST
HOLLOMAN AFB, NM 88330
Pharmacist
280 1ST ST
HOLLOMAN AFB, NM 88330
Optometrist
280 1ST ST
HOLLOMAN AFB, NM 88330
Social Worker (Clinical)
280 1ST ST, BLDG 17
HOLLOMAN AFB, NM 88330
Nurse Practitioner (Family)
280 1ST ST
HOLLOMAN AFB, NM 88330

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 Gretta Carroll's NPI number?

The NPI number for Gretta Carroll is 1619358900. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Gretta Carroll located?

Gretta Carroll practices at 280 1st St, Holloman Afb, NM 88330. The listed phone number is (575) 572-7091.

What is Gretta Carroll's specialty?

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

Is Gretta Carroll enrolled in Medicare?

Yes. Gretta 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 Gretta Carroll accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Gretta 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 Gretta Carroll affiliated with any hospitals?

According to CMS data, Gretta Carroll is affiliated with Ssm St Joseph Health Center, Ssm Health Depaul Hospital St Louis, Ssm St Joseph Hospital West and Mercy Hospital Lincoln.

When was this NPI record last updated?

The NPPES record for Gretta Carroll was last updated on March 21, 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.