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KEVIN WILLIAM CARROLL
NPI 1861950255
Internal Medicine in Port Saint Lucie, FL

Active since March 05, 2019PECOS Enrolled
89.89/100
CMS Quality Rating
10000 SW INNOVATION WAY, PORT SAINT LUCIE, FL 34987(772) 345-8100 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2022, May 20, 2022, Apr 30, 2019 and 1 more (4 updates tracked since 2019).

About Kevin William Carroll NPPES

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

KEVIN WILLIAM CARROLL (NPI 1861950255) is an individual internal medicine provider in Port Saint Lucie, Florida, licensed in Florida (OS18952) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1861950255
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKEVIN WILLIAM CARROLL
Location Address10000 SW INNOVATION WAYPort Saint Lucie, FL 34987-2111
Mailing Address10000 Sw Innovation WayPort St Lucie, FL 34987-2111 · (513) 376-0595
Phone(772) 345-8100
Sole ProprietorNo
Enumeration DateMarch 5, 2019
Last NPPES UpdateJuly 8, 20224 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1861950255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS18952
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10000 SW INNOVATION WAY, Port Saint Lucie, FL 34987
Open in Google Maps ↗

Secondary Practice Location 1

Location 1405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3245

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin William Carroll is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.
310 services295 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.
40 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34987 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

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.

SARAH GARDI GARCIA PA-C
Physician Assistant (Surgical)
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
St. Lucie County (772) 345-8100
DR. FELIX FILIAS MD
Internal Medicine
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
St. Lucie County (772) 345-8100
MS. MARIA ELIZAZBETH CARDONA ADN ONS RN
Registered Nurse (Oncology)
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
St. Lucie County (772) 345-8100
BIBIANA ROCIO SANDOVAL MD, MPH
Family Medicine
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
St. Lucie County (772) 345-8100
GAUDY SOTO
Pharmacist
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
St. Lucie County (772) 223-5945
KENDALL MELISSA ALBU PA-C
Physician Assistant
10000 SW INNOVATION WAY
PORT ST LUCIE, FL 34987
St. Lucie County (772) 345-8100
CHRIS MARKUSON
Nurse Practitioner (Adult Health)
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
St. Lucie County (408) 483-9521
COASTAL CARE CORPORATION
Clinic/Center (Magnetic Resonance Imaging (MRI))
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 34987
St. Lucie County (772) 345-5236

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 Kevin Carroll's NPI number?

The NPI number for Kevin Carroll is 1861950255. It was assigned to this individual provider in the NPPES registry on March 5, 2019.

Where is Kevin Carroll located?

Kevin Carroll practices at 10000 SW Innovation Way, Port Saint Lucie, FL 34987. The listed phone number is (772) 345-8100.

What is Kevin Carroll's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kevin Carroll enrolled in Medicare?

Yes. Kevin Carroll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Carroll was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.