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

Q: 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.

Q: What is Jennifer Carroll's specialty?

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

Q: 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.

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: October 25, 2026.

On this page

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

Phone(585) 254-6480

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mobile Medical Team International

244 mi

Primary Care

2603 ELECTRIC AVE STE C
Port Huron, MI 48060

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1558120436 (415) 332-2600

Needham Wellesley Family Medicine PC

329 mi

Clinic/Center

65 WALNUT ST, SUITE 420
Wellesley Hills, MA 02481

Reassigned Medicare billing, Massachusetts enrollment
9 clinicians in this Medicare group

NPI 1679890164 (781) 235-3444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

ANTHONY L. JORDAN HEALTH CORPORATION

Clinic/Center (Federally Qualified Health Center (FQHC))

322 LAKE AVE, BROWN SQUARE CENTER
ROCHESTER, NY 14608

Monroe County (585) 254-6480

SHEILA JOHNSTON R.D.H.

Dental Hygienist