JENNIFER CARROLL M.D.
NPI 1639199797
Family Medicine in Rochester, NY

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
322 LAKE AVE, ROCHESTER, NY 14608(585) 254-6480(585) 254-1092 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jennifer Carroll M.d. NPPES

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

JENNIFER CARROLL M.D. (NPI 1639199797) is an individual family medicine provider in Rochester, New York, licensed in New York (214505) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of University Of Connecticut School Of Medicine (1996).

NPPES Registry Identity

NPI1639199797
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER CARROLLCredential: M.D.
Location Address322 LAKE AVERochester, NY 14608-1017
Mailing Address480 Genesee StRochester, NY 14611-3634 · (585) 254-6480 · Fax (585) 254-1092
Fax(585) 254-1092
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1996
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1639199797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 214505
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.
322 LAKE AVE, Rochester, NY 14608

Other Identifiers 5

Other103401BFNY · Preferred Care
Medicaid214505NY
Medicare UPINH10320NY
Medicare ID-Type UnspecifiedRA1425NY · Medicare B
Medicare ID-Type Unspecified10690ANY · Medicare B Group Number

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

Jennifer 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 ID2163403395
PECOS Enrollment IDI20250617000689
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 2

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
96 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services11 patients

Hospital Affiliations CMS Care Compare

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

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14608 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
322 LAKE AVE, BROWN SQUARE CENTER
ROCHESTER, NY 14608
Dental Hygienist
322 LAKE AVE
ROCHESTER, NY 14608
Pharmacy (Community/Retail Pharmacy)
322 LAKE AVE
ROCHESTER, NY 14608
Physician Assistant
322 LAKE AVE
ROCHESTER, NY 14608
Family Medicine
322 LAKE AVE
ROCHESTER, NY 14608
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
322 LAKE AVE
ROCHESTER, NY 14608
Family Medicine
322 LAKE AVE
ROCHESTER, NY 14608
Family Medicine
322 LAKE AVE
ROCHESTER, NY 14608

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 Jennifer Carroll's NPI number?

The NPI number for Jennifer Carroll is 1639199797. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Jennifer Carroll located?

Jennifer Carroll practices at 322 Lake Ave, Rochester, NY 14608. The listed phone number is (585) 254-6480.

What is Jennifer Carroll's specialty?

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

Is Jennifer Carroll enrolled in Medicare?

Yes. Jennifer 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 Jennifer Carroll accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Jennifer 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 Jennifer Carroll affiliated with any hospitals?

According to CMS data, Jennifer Carroll is affiliated with Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Carroll was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.