DR. THOMAS JOSEPH CAROLLO JR. M.D.
NPI 1740372572
Hospitalist in Cumming, GA

Q: What is Thomas Carollo's NPI number?

The NPI number for Thomas Carollo is 1740372572. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Thomas Carollo's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Carollo was last updated on January 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 29, 2006PECOS EnrolledAccepts Medicare Assignment

98.31/100

CMS Quality Rating

1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041(770) 844-3200(404) 851-6325 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Thomas Joseph Carollo Jr. M.d. NPPES

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

DR. THOMAS JOSEPH CAROLLO JR. M.D. (NPI 1740372572) is an individual hospitalist provider in Cumming, Georgia, licensed in Georgia (060355) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2003).

NPPES Registry Identity

NPI1740372572

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. THOMAS JOSEPH CAROLLO JR.Credential: M.D.

Location Address1200 NORTHSIDE FORSYTH DRCumming, GA 30041-7659

Mailing Address1200 Northside Forsyth DrCumming, GA 30041-7659 · (770) 844-3200 · Fax (404) 851-6325

Phone(770) 844-3200

Fax(404) 851-6325

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2003

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJanuary 19, 2017

✔ NPI 1740372572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in GA · 060355

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1200 NORTHSIDE FORSYTH DR, Cumming, GA 30041

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Other Identifiers 3

Medicare UPIN051537504CARGA

Medicare PIN202I117062GA

Medicaid666784042EGA

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

Dr. Thomas Joseph Carollo Jr. 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 ID7012918360

PECOS Enrollment IDI20080519000556

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 3

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 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

682 services183 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

121 services118 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

98.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.88

Improvement Activities

Cost

84.56

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers37 claims37 services$14.19 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers53 claims54 services$65.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

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