DR. BRIAN JOHN CARROLL D.O.
NPI 1891113775
Obstetrics & Gynecology in Highland Park, IL

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
757 PARK AVE W STE 2800, HIGHLAND PARK, IL 60035(847) 752-4497 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2021, Jul 11, 2018 (2 updates tracked since 2018).

About Dr. Brian John Carroll D.o. NPPES

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

DR. BRIAN JOHN CARROLL D.O. (NPI 1891113775) is an individual obstetrics & gynecology provider in Highland Park, Illinois, licensed in Illinois (336.107615) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1891113775
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. BRIAN JOHN CARROLLCredential: D.O.
Location Address757 PARK AVE W STE 2800Highland Park, IL 60035
Mailing Address757 Park Ave W Ste 2800Highland Park, IL 60035-2557 · (847) 432-1558 · Fax (847) 432-6981
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2014
Enumeration DateMarch 28, 2014
Last NPPES UpdateApril 1, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
NPI 1891113775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in IL · 336.107615 Licensed in IL · 125064529
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
757 PARK AVE W STE 2800, Highland Park, IL 60035

Secondary Practice Location 1

Location 17435 W Talcott AveChicago, IL 60631-3707 · Phone (603) 233-2555

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Brian John Carroll D.o. 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 ID4284923418
PECOS Enrollment IDI20180730002563
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.

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.
24 services22 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60035 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Advanced Practice Midwife
757 PARK AVE W STE 2800
HIGHLAND PARK, IL 60035
Obstetrics & Gynecology
757 PARK AVE W STE 2800
HIGHLAND PARK, IL 60035
Obstetrics & Gynecology
757 PARK AVE W STE 2800
HIGHLAND PARK, IL 60035
Obstetrics & Gynecology
757 PARK AVE W STE 2800
HIGHLAND PARK, IL 60035
Advanced Practice Midwife
757 PARK AVE W STE 2800
HIGHLAND PARK, IL 60035

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 Brian Carroll's NPI number?

The NPI number for Brian Carroll is 1891113775. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Brian Carroll located?

Brian Carroll practices at 757 Park Ave W Ste 2800, Highland Park, IL 60035. The listed phone number is (847) 752-4497.

What is Brian Carroll's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Brian Carroll enrolled in Medicare?

Yes. Brian 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 Brian Carroll accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Brian 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 Brian Carroll affiliated with any hospitals?

According to CMS data, Brian Carroll is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Brian Carroll was last updated on April 1, 2021. 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.