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STEPHANIE J CARROLL M.D.
NPI 1679835896
Family Medicine in Travis Afb, CA

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-5349 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephanie J Carroll M.d. NPPES

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

STEPHANIE J CARROLL M.D. (NPI 1679835896) is an individual family medicine provider in Travis Afb, California, licensed in California (131193) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679835896
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHANIE J CARROLLCredential: M.D.
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809
Phone(707) 423-5349
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 13, 2012
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1679835896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 131193
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.

101 BODIN CIR, Travis Afb, CA 94535
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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

Stephanie J 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 ID5890915672
PECOS Enrollment IDI20180712001245
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

DR. CONSTANCE ANN HUFF D.D.S.
Dentist (Pediatric Dentistry)
101 BODIN CIR, DAVID GRANT MEDICAL CENTER / 60TH DENTAL SQUADRON
TRAVIS AFB, CA 94535
Solano County (707) 423-7001
DR. PETER JOSEPH CHENAILLE M.D.
Pediatrics (Pediatric Hematology-Oncology)
101 BODIN CIR, DEPARTMENT OF PEDIATRICS
TRAVIS AFB, CA 94535
Solano County (707) 423-5312
DR. KYLE JERRY MICHAELIS MD
Internal Medicine (Cardiovascular Disease)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-5011
DR. PATRICK JAMES KEARNEY M.D., M.P.H.
Preventive Medicine (Undersea and Hyperbaric Medicine)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3987
DR. KEVIN PAUL MULLIGAN PSY.D.
Clinical Neuropsychologist
101 BODIN CIR, DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535
Solano County (707) 423-5174
WILLIAM ANTHONY KIEFFER PH.D
Social Worker (Clinical)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3701
DR. SCOTT RIISE M.D.
Family Medicine (Sports Medicine)
101 BODIN CIR, 60TH MDOS/SGOL
TRAVIS AFB, CA 94535
Solano County (707) 423-7372
MS. DONNA HEITER CRNA
Nurse Anesthetist, Certified Registered
101 BODIN CIR, 60 MDG/SGCSA
TRAVIS AFB, CA 94535
Solano County (707) 423-3590

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 Stephanie Carroll's NPI number?

The NPI number for Stephanie Carroll is 1679835896. It was assigned to this individual provider in the NPPES registry on June 13, 2012.

Where is Stephanie Carroll located?

Stephanie Carroll practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-5349.

What is Stephanie Carroll's specialty?

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

Is Stephanie Carroll enrolled in Medicare?

Yes. Stephanie 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.

When was this NPI record last updated?

The NPPES record for Stephanie Carroll was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.