DR. DAVID M CARROLL M.D.
NPI 1770532038
Radiology - Diagnostic Radiology in Macon, GA

Active since May 06, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
350 HOSPITAL DR, MACON, GA 31217(478) 765-7000 Get Directions Write a Review

NPPES record last updated: December 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Dec 24, 2025, Jan 12, 2021 (2 updates tracked since 2021).

About Dr. David M Carroll M.d. NPPES

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

DR. DAVID M CARROLL M.D. (NPI 1770532038) is an individual diagnostic radiology provider in Macon, Georgia, licensed in Georgia (053111) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1770532038
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. DAVID M CARROLLCredential: M.D.
Location Address350 HOSPITAL DRMacon, GA 31217-3838
Mailing AddressPo Box 2417Gainesville, GA 30503-2417 · (770) 532-9936 · Fax (770) 534-9877
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1998
Enumeration DateMay 6, 2006
Last NPPES UpdateDecember 24, 20252 updates tracked since enumeration
NPPES CertifiedDecember 24, 2025
✔ NPI 1770532038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GA · 053111
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
350 HOSPITAL DR, Macon, GA 31217

Secondary Practice Locations 2

Location 11250 Jesse Jewell Pkwy SE, SUITE 500Gainesville, GA 30501-3871 · Phone (770) 532-9936 · Fax (770) 534-9877
Location 2200 W Academy StreetGainesville, GA 30501 · Phone (770) 282-8820

Other Identifiers 2

Medicaid671387516TGA
Medicaid671387516AGA

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

Dr. David M 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 ID5799950101
PECOS Enrollment IDI20111214000266
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 49

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
829 services779 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
669 services596 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
276 services270 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
271 services269 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
233 services222 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
203 services201 patients

Hospital Affiliations CMS Care Compare 5

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
1%185 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
97%1,207 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%298 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%30 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Emergency Medicine
350 HOSPITAL DR
MACON, GA 31217
Clinic/Center (Physical Therapy)
350 HOSPITAL DR
MACON, GA 31217
Nurse Practitioner
350 HOSPITAL DR
MACON, GA 31217
Student in an Organized Health Care Education/Training Program
350 HOSPITAL DR
MACON, GA 31217
Student in an Organized Health Care Education/Training Program
350 HOSPITAL DR
MACON, GA 31217
Nurse Practitioner (Family)
350 HOSPITAL DR
MACON, GA 31217
Student in an Organized Health Care Education/Training Program
350 HOSPITAL DR
MACON, GA 31217
Student in an Organized Health Care Education/Training Program
350 HOSPITAL DR
MACON, GA 31217

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 David Carroll's NPI number?

The NPI number for David Carroll is 1770532038. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is David Carroll located?

David Carroll practices at 350 Hospital Dr, Macon, GA 31217. The listed phone number is (478) 765-7000.

What is David Carroll's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is David Carroll enrolled in Medicare?

Yes. David 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 David Carroll accept?

Health plans from Alliant Health Plans, Inc. list David 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 David Carroll affiliated with any hospitals?

According to CMS data, David Carroll is affiliated with Northeast Georgia Medical Center, Inc, Atrium Health Navicent The Medical Center, Northside Hospital, Coliseum Medical Centers, LLC, Dba and Piedmont Macon North Hospital.

When was this NPI record last updated?

The NPPES record for David Carroll was last updated on December 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.