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DR. JOEL CARROLL MD
NPI 1962411090
Family Medicine in Salem, WI

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
7322 236TH AVE, SALEM, WI 53168(262) 577-8460(262) 577-8399 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2018, Apr 18, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Joel Carroll Md NPPES

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

DR. JOEL CARROLL MD (NPI 1962411090) is an individual family medicine provider in Salem, Wisconsin, licensed in Wisconsin (24302-20) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Medical College Of Wisconsin (1978).

NPPES Registry Identity

NPI1962411090
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOEL CARROLLCredential: MD
Location Address7322 236TH AVESalem, WI 53168-9664
Mailing Address6308 8th AveKenosha, WI 53143-5031 · (262) 656-3313 · Fax (262) 577-8399
Phone(262) 577-8460
Fax(262) 577-8399
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1978
Enumeration DateAugust 7, 2006
Last NPPES UpdateDecember 3, 20184 updates tracked since enumeration
✔ NPI 1962411090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 24302-20
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 24302 (WI)
7322 236TH AVE, Salem, WI 53168
Open in Google Maps ↗

Other Names 1

Professional Name (2)Joel Patrick Carroll Md

Other Identifiers 3

OtherF400411291IL · Medicare (illinois)
Medicaid30507800WI
OtherK400411276WI · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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. Joel Carroll Md 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 ID5294865853
PECOS Enrollment IDI20100609000413, I20170918003457
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 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.
299 services107 patients
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.
72 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
16 services16 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
16 services16 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53168 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers22 claims80 services$5.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims18 services$1.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$16.14 avg. paid by Medicare
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
3 suppliers32 claims32 services$66.91 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$184.79 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 4

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

DR. BRIGG W BARSNESS MD
Family Medicine
7322 236TH AVE
SALEM, WI 53168
Kenosha County (262) 577-8460
DR. CHRISTOPHER BRADLEY WILLS D.O
Internal Medicine
7322 236TH AVE
SALEM, WI 53168
Kenosha County (262) 671-7550
DR. NICHOLAS A AKGULIAN MD
Family Medicine
7322 236TH AVE
SALEM, WI 53168
Kenosha County (262) 577-8460
JENNIFER TAKATA D.O.
Internal Medicine
7322 236TH AVE
SALEM, WI 53168
Kenosha County (262) 671-7560

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 Joel Carroll's NPI number?

The NPI number for Joel Carroll is 1962411090. It was assigned to this individual provider in the NPPES registry on August 7, 2006. The provider is also known as Joel Patrick Carroll MD.

Where is Joel Carroll located?

Joel Carroll practices at 7322 236th Ave, Salem, WI 53168. The listed phone number is (262) 577-8460.

What is Joel Carroll's specialty?

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

Is Joel Carroll enrolled in Medicare?

Yes. Joel 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 Joel Carroll accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Joel 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 Joel Carroll affiliated with any hospitals?

According to CMS data, Joel Carroll is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Joel Carroll was last updated on December 3, 2018. 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.