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ROBERT M CARROLL M.D.
NPI 1932549771
Ophthalmology - Retina Specialist in Philadelphia, PA

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
89.38/100
CMS Quality Rating
2701 HOLME AVE STE 303, PHILADELPHIA, PA 19152(215) 335-3088(215) 335-0315 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2019, Apr 11, 2018, May 18, 2017 (3 updates tracked since 2017).

About Robert M Carroll M.d. NPPES

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

ROBERT M CARROLL M.D. (NPI 1932549771) is an individual retina specialist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD460367) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1932549771
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameROBERT M CARROLLCredential: M.D.
Location Address2701 HOLME AVE STE 303Philadelphia, PA 19152
Mailing Address2701 Holme Ave Ste 303Philadelphia, PA 19152-2029 · (215) 335-3088 · Fax (215) 335-0315
Phone(215) 335-3088
Fax(215) 335-0315
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 25, 2013
Last NPPES UpdateJune 21, 20193 updates tracked since enumeration
✔ NPI 1932549771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in PA · MD460367
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD460367 (PA)
2701 HOLME AVE STE 303, Philadelphia, PA 19152
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert 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 ID8527336452
PECOS Enrollment IDI20230711001605
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Robert Carroll reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Philadelphia Retina Associates PC
Same address
Ophthalmology
2701 HOLME AVE STE 303
Philadelphia, PA 19152
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 5 clinicians in this Medicare group
NPI 1104873223 (215) 335-3088
University Of Penn-Medical Group
9.9 mi
Ambulatory Fertility Facility
801 SPRUCE ST, 8TH FLOOR
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1669860854 (215) 829-2345
Carty Eye Associates, Ltd.
15 mi
Ophthalmology
830 OLD LANCASTER ROAD, SUITE 100
Bryn Mawr, PA 19010
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 10 clinicians in this Medicare group
NPI 1801836598 (610) 527-0990
Christiana Care Health Services, Inc
31 mi
Family Medicine
1401 FOULK RD, SUITE 100B
Wilmington, DE 19803
  • Reassigned Medicare billing, Delaware enrollment
  • 1,531 clinicians in this Medicare group
NPI 1619951068 (302) 477-3300
Eye Physicians & Surgeons, PA
35 mi
Ophthalmology
1207 N SCOTT ST
Wilmington, DE 19806
  • Reassigned Medicare billing, Delaware enrollment
  • 13 clinicians in this Medicare group
NPI 1972695435 (302) 652-3353

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
6,900 services38 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
503 services267 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
308 services113 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
287 services216 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
169 services31 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
79 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19152 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

89.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost64.6

Other Providers at the Same Location NPPES 4

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

DR. HUGO MANUEL LINARES D.O.
Ophthalmology (Retina Specialist)
2701 HOLME AVE STE 303
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-3088
PHILADELPHIA RETINA ASSOCIATES PC
Ophthalmology
2701 HOLME AVE STE 303
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-3088
DR. EDWARD ALAN DEGLIN MD
Ophthalmology
2701 HOLME AVE STE 303
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-3088
DR. JOSHUA M GREENE MD
Ophthalmology (Retina Specialist)
2701 HOLME AVE STE 303
PHILADELPHIA, PA 19152
Philadelphia County (215) 335-3088

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 Robert Carroll's NPI number?

The NPI number for Robert Carroll is 1932549771. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Robert Carroll located?

Robert Carroll practices at 2701 Holme Ave Ste 303, Philadelphia, PA 19152. The listed phone number is (215) 335-3088.

What is Robert Carroll's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Robert Carroll enrolled in Medicare?

Yes. Robert 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.

Which organizations bill Medicare for Robert Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Carroll reassigns Medicare benefits to 5 organizations: Philadelphia Retina Associates PC (Philadelphia, PA), University Of Penn-Medical Group (Philadelphia, PA), Carty Eye Associates, Ltd. (Bryn Mawr, PA), Christiana Care Health Services, Inc (Wilmington, DE) and Eye Physicians & Surgeons, PA (Wilmington, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Carroll accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Robert 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.

When was this NPI record last updated?

The NPPES record for Robert Carroll was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.