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MR. TIMOTHY MARTIN CARROLL AGACNP-BC
NPI 1902446248
Nurse Practitioner - Acute Care in Erie, PA

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
300 STATE ST FL 4, ERIE, PA 16507(814) 877-5330(814) 877-5331 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2020, Jan 15, 2020 (2 updates tracked since 2020).

About Mr. Timothy Martin Carroll Agacnp-bc NPPES

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

MR. TIMOTHY MARTIN CARROLL AGACNP-BC (NPI 1902446248) is an individual acute care provider in Erie, Pennsylvania, licensed in Pennsylvania (SP021146) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902446248
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. TIMOTHY MARTIN CARROLLCredential: AGACNP-BC
Location Address300 STATE ST FL 4Erie, PA 16507-1427
Mailing Address300 State St Fl 4Erie, PA 16507-1427 · (814) 877-5330 · Fax (814) 877-5331
Phone(814) 877-5330
Fax(814) 877-5331
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 15, 2020
Last NPPES UpdateOctober 28, 20212 updates tracked since enumeration
NPPES CertifiedOctober 28, 2021
✔ NPI 1902446248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP021146
300 STATE ST FL 4, Erie, PA 16507
Open in Google Maps ↗

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

Mr. Timothy Martin Carroll Agacnp-bc 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 ID8426485947
PECOS Enrollment IDI20200224000739
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 6

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.
56 services56 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services17 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

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.

GREGORY ENGLISH
Surgery
300 STATE ST FL 4, 4TH FLOOR, SUITE 401
ERIE, PA 16507
Erie County (814) 877-4577
LINDSEY ROACH
Surgery
300 STATE ST FL 4, 4TH FLOOR, SUITE 401
ERIE, PA 16507
Erie County (814) 877-6111
AARON RUCKS
Radiology (Vascular & Interventional Radiology)
300 STATE ST FL 4
ERIE, PA 16507
Erie County (814) 877-6370
GARY CORTINA
Orthopaedic Surgery
300 STATE ST FL 4, 4TH FLOOR, SUITE 401
ERIE, PA 16507
Erie County (814) 877-8370
DR. IAN FLANERY OSBURN M.D., M.P.H
Anesthesiology (Pain Medicine)
300 STATE ST FL 4
ERIE, PA 16507
Erie County (814) 877-5330
SUZANNE IACOBUCCI
Nurse Practitioner
300 STATE ST FL 4, 4TH FLOOR, SUITE 401
ERIE, PA 16507
Erie County (814) 877-6111
CHARLES ROMERO
Psychiatry & Neurology (Neurology)
300 STATE ST FL 4, 4TH FLOOR, SUITE 401
ERIE, PA 16507
Erie County (814) 877-5330
EMILY ZAYSHLYY
Surgery
300 STATE ST FL 4, 4TH FLOOR SUITE 401
ERIE, PA 16507
Erie County (814) 877-6111

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 Timothy Carroll's NPI number?

The NPI number for Timothy Carroll is 1902446248. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Timothy Carroll located?

Timothy Carroll practices at 300 State St Fl 4, Erie, PA 16507. The listed phone number is (814) 877-5330.

What is Timothy Carroll's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Timothy Carroll enrolled in Medicare?

Yes. Timothy 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.

Is Timothy Carroll affiliated with any hospitals?

According to CMS data, Timothy Carroll is affiliated with Upmc Hamot and Meadville Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Carroll was last updated on October 28, 2021. 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.