DR. JAMES FRANCIS CARROLL M.D.
NPI 1962439695
Emergency Medicine in Springfield, MA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
271 CAREW ST, SPRINGFIELD, MA 01104(413) 748-9137(413) 452-6049 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Francis Carroll M.d. NPPES

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

DR. JAMES FRANCIS CARROLL M.D. (NPI 1962439695) is an individual emergency medicine provider in Springfield, Massachusetts, licensed in New Hampshire (11616) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1999).

NPPES Registry Identity

NPI1962439695
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES FRANCIS CARROLLCredential: M.D.
Location Address271 CAREW STSpringfield, MA 01104-2377
Mailing Address271 Carew StSpringfield, MA 01104-2377 · (413) 748-9137 · Fax (413) 452-6049
Fax(413) 452-6049
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1999
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
NPI 1962439695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in NH · 11616 Licensed in MA · 230239
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License C-203083 (CA), MD20713 (RI), 64723 (CT)
271 CAREW ST, Springfield, MA 01104

Other Identifiers 4

Medicaid30205340NH
Medicaid431921699ME
OtherAA42092NH · Harvard Pilgrim
Other01Y004184NH02NH · Bcbs Thru Seacoast Er Phy

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. James Francis 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 ID7810913415
PECOS Enrollment IDI20070522000454
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 7

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
110 services40 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
72 services70 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.
52 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services19 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
22 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01104 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Specialist
271 CAREW ST
SPRINGFIELD, MA 01104
Nurse Practitioner (Family)
271 CAREW ST
SPRINGFIELD, MA 01104
Nurse Anesthetist, Certified Registered
271 CAREW ST
SPRINGFIELD, MA 01104
Physician Assistant (Surgical)
271 CAREW ST
SPRINGFIELD, MA 01104
General Acute Care Hospital
271 CAREW ST
SPRINGFIELD, MA 01104
Physician Assistant
271 CAREW ST
SPRINGFIELD, MA 01104
Internal Medicine
271 CAREW ST
SPRINGFIELD, MA 01104
Hospitalist
271 CAREW ST
SPRINGFIELD, MA 01104

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 James Carroll's NPI number?

The NPI number for James Carroll is 1962439695. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is James Carroll located?

James Carroll practices at 271 Carew St, Springfield, MA 01104. The listed phone number is (413) 748-9137.

What is James Carroll's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Carroll enrolled in Medicare?

Yes. James 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.

When was this NPI record last updated?

The NPPES record for James Carroll was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.