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MICHAEL CARROLL M.D.
NPI 1699738252
Surgery in Biddeford, ME

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
9 HEALTHCARE DRIVE, SUITE 204, BIDDEFORD, ME 04005(207) 284-2630(207) 284-2631 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Carroll M.d. NPPES

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

MICHAEL CARROLL M.D. (NPI 1699738252) is an individual surgery provider in Biddeford, Maine, licensed in Maine (014332) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of University Of Vermont College Of Medicine (1990).

NPPES Registry Identity

NPI1699738252
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHAEL CARROLLCredential: M.D.
Location Address9 HEALTHCARE DRIVE, SUITE 204Biddeford, ME 04005-3742
Mailing Address1 Medical DrBiddeford, ME 04005-9422 · (207) 282-9080 · Fax (207) 282-9180
Phone(207) 284-2630
Fax(207) 284-2631
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1990
Enumeration DateApril 6, 2006
Last NPPES UpdateSeptember 18, 2013
✔ NPI 1699738252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ME · 014332
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9 HEALTHCARE DRIVE, Biddeford, ME 04005
Open in Google Maps ↗

Other Identifiers 8

Medicare UPING33685
Medicare ID-Type UnspecifiedMM6448ME
Other1041112ME · Aetna
Other620050901Cigna
Medicare PINMM644801ME
OtherG33685ME · Harvard Pilgrim
Other030300ME · Anthem
Medicaid269230099ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Michael 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 ID8022050483
PECOS Enrollment IDI20050525000885
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services15 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 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.
13 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
Most-billed visit code 99213
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

BRANDEI K WINGARD M.D.
Internal Medicine (Cardiovascular Disease)
9 HEALTHCARE DRIVE, SUITE 105
BIDDEFORD, ME 04005
York County (207) 282-3666
DR. RICHARD MARTIN KAHN M.D.
Internal Medicine (Pulmonary Disease)
9 HEALTHCARE DRIVE, SUITE 209
BIDDEFORD, ME 04005
York County (207) 283-6408
HEATHER J LEMIRE WHNP-BC
Nurse Practitioner (Women's Health)
9 HEALTHCARE DRIVE, SUITE 101
BIDDEFORD, ME 04005
York County (207) 282-4270
HOWARD B SHERMAN M.D.
Internal Medicine (Cardiovascular Disease)
9 HEALTHCARE DRIVE, SUITE 105
BIDDEFORD, ME 04005
York County (207) 282-3666
TAMMI BITTLER M.D.
Obstetrics & Gynecology
9 HEALTHCARE DRIVE, SUITE 101
BIDDEFORD, ME 04005
York County (207) 282-4270
DR. SCOTT A MORIN D.O.
Internal Medicine (Pulmonary Disease)
9 HEALTHCARE DRIVE, SUITE 209
BIDDEFORD, ME 04005
York County (207) 283-6408
MARY O'HARE M.D.
Obstetrics & Gynecology
9 HEALTHCARE DRIVE, SUITE 101
BIDDEFORD, ME 04005
York County (207) 282-4270
KIMBERLY R COMPARETTO APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
9 HEALTHCARE DRIVE, SUITE 101
BIDDEFORD, ME 04005
York County (207) 282-4270

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 Michael Carroll's NPI number?

The NPI number for Michael Carroll is 1699738252. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Michael Carroll located?

Michael Carroll practices at 9 Healthcare Drive Suite 204, Biddeford, ME 04005. The listed phone number is (207) 284-2630.

What is Michael Carroll's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Carroll enrolled in Medicare?

Yes. Michael 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 Michael Carroll accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Michael 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 Michael Carroll affiliated with any hospitals?

According to CMS data, Michael Carroll is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Carroll was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.