1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Obstetrics Gynecology
  6. NPI Profile

DR. ELISA F CARROLL M.D.
NPI 1962491159
Obstetrics & Gynecology in San Antonio, TX

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1303 MCCULLOUGH AVE, SUITE GL70, SAN ANTONIO, TX 78212(210) 226-9705(210) 223-4555 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Elisa F Carroll M.d. NPPES

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

DR. ELISA F CARROLL M.D. (NPI 1962491159) is an individual obstetrics & gynecology provider in San Antonio, Texas, licensed in Texas (K7151) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1962491159
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. ELISA F CARROLLCredential: M.D.
Location Address1303 MCCULLOUGH AVE, SUITE GL70San Antonio, TX 78212-5609
Mailing Address1355 Central Pkwy S Ste 400San Antonio, TX 78232-5057 · (210) 349-9300 · Fax (210) 366-2558
Phone(210) 226-9705
Fax(210) 223-4555
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 19, 2005
Last NPPES UpdateNovember 6, 2019
✔ NPI 1962491159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · K7151
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.

1303 MCCULLOUGH AVE, San Antonio, TX 78212
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Elisa F 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 ID7315907847
PECOS Enrollment IDI20041019000042
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 5

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.

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
127 services127 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.
124 services124 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
65 services56 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
14 services14 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78212 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.05
Promoting Interoperability100
Improvement Activities40
Cost53.51

Reported Quality Measures

Breast Cancer Screening
83%94 patients4/55-star benchmark: 93%
Cervical Cancer Screening
80%313 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
11%64 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
92%434 patients4/55-star benchmark: 100%
e-Prescribing
99%1,336 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%306 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
51%392 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 352 patients
0%352 patients
Provide Patients Electronic Access to Their Health Information
96%1,090 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

DR. VICTOR IVAN LYDAY M.D.
Orthopaedic Surgery (Hand Surgery)
1303 MCCULLOUGH AVE, SUITE 361
SAN ANTONIO, TX 78212
Bexar County (210) 224-2639
DR. ERIC SCHAFFER MD
Plastic Surgery
1303 MCCULLOUGH AVE, STE 363
SAN ANTONIO, TX 78212
Bexar County (210) 227-3223
MARK A ISAEFF M.D.
Internal Medicine
1303 MCCULLOUGH AVE, SUITE 542
SAN ANTONIO, TX 78212
Bexar County (210) 572-4431
DR. DANIEL A CALDERON M.D.
Obstetrics & Gynecology
1303 MCCULLOUGH AVE, SUITE GL70
SAN ANTONIO, TX 78212
Bexar County (210) 226-9705
DR. ORLANDO J SURIS M.D.
Obstetrics & Gynecology
1303 MCCULLOUGH AVE, SUITE GL70
SAN ANTONIO, TX 78212
Bexar County (210) 226-9705
DR. DOMINGO PADILLA, JR M.D.
Specialist
1303 MCCULLOUGH AVE, SUITE GL70
SAN ANTONIO, TX 78212
Bexar County (210) 226-9705
AMBER GRAPEVINE MS, RD
Dietitian, Registered
1303 MCCULLOUGH AVE, SUITE GL 70
SAN ANTONIO, TX 78212
Bexar County (210) 226-9705
DR. JAMES HAROLD VERNIER M.D.
Anesthesiology
1303 MCCULLOUGH AVE, SUITE 229
SAN ANTONIO, TX 78212
Bexar County (210) 477-9699

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 Elisa Carroll's NPI number?

The NPI number for Elisa Carroll is 1962491159. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Elisa Carroll located?

Elisa Carroll practices at 1303 Mccullough Ave Suite Gl70, San Antonio, TX 78212. The listed phone number is (210) 226-9705.

What is Elisa Carroll's specialty?

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

Is Elisa Carroll enrolled in Medicare?

Yes. Elisa 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 Elisa Carroll accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Elisa 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 Elisa Carroll was last updated on November 6, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.