NATHAN CARROLL M.D.
NPI 1821318684
Family Medicine in Santa Paula, CA

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
87.18/100
CMS Quality Rating
825 N 10TH ST, SANTA PAULA, CA 93060(805) 933-8632 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2020, Jun 20, 2018 (2 updates tracked since 2018).

About Nathan Carroll M.d. NPPES

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

NATHAN CARROLL M.D. (NPI 1821318684) is an individual family medicine provider in Santa Paula, California, licensed in California (A119601) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2011).

NPPES Registry Identity

NPI1821318684
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNATHAN CARROLLCredential: M.D.
Location Address825 N 10TH STSanta Paula, CA 93060
Mailing Address825 N 10th StSanta Paula, CA 93060-1309 · (805) 933-8632
Sole ProprietorYes
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2011
Enumeration DateJune 3, 2010
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
NPI 1821318684 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 · A119601
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.
825 N 10TH ST, Santa Paula, CA 93060

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

Nathan 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 ID1658535984
PECOS Enrollment IDI20120615000573
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 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.

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.
68 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
37 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93060 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
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
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.

87.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.09
Promoting Interoperability100
Improvement Activities40
Cost56.53

Referred Medical Equipment & Supplies CMS DME claims

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

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
1 supplier12 claims12 services$62.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Family Medicine
825 N 10TH ST
SANTA PAULA, CA 93060
Pharmacist
825 N 10TH ST
SANTA PAULA, CA 93060
Emergency Medicine
825 N 10TH ST, EMERGENCY DEPARTMENT
SANTA PAULA, CA 93060
Emergency Medicine
825 N 10TH ST
SANTA PAULA, CA 93060
Pharmacist
825 N 10TH ST
SANTA PAULA, CA 93060
Family Medicine
825 N 10TH ST
SANTA PAULA, CA 93060
Emergency Medicine
825 N 10TH ST
SANTA PAULA, CA 93060
Internal Medicine
825 N 10TH ST
SANTA PAULA, CA 93060

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 Nathan Carroll's NPI number?

The NPI number for Nathan Carroll is 1821318684. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Nathan Carroll located?

Nathan Carroll practices at 825 N 10th St, Santa Paula, CA 93060. The listed phone number is (805) 933-8632.

What is Nathan Carroll's specialty?

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

Is Nathan Carroll enrolled in Medicare?

Yes. Nathan 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 Nathan Carroll was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.