What is James Carroll's specialty?

James Carroll (NPI 1962439695) is a Medicare-billing provider whose primary specialty is Emergency Medicine in Springfield, MA.

Where does James Carroll practice?

James Carroll practices in Springfield, MA, based on the location reported in the CMS Medicare provider datasets for NPI 1962439695.

How much does Medicare pay James Carroll?

James Carroll (NPI 1962439695) received approximately $35K in total Medicare Part B payments, serving 172 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1962439695

James CarrollM.D.

PRACTICEMERCY HOSPITAL INCSee all providers at this practice →

Emergency MedicineSpringfield, MAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

213

Unique beneficiaries

—

Total services

349

Distinct HCPCS

Medicare payment

$32K

Peer benchmark

Total Medicare services vs. 1,329 Emergency Medicine providers in MA — above median (cohort median 399).

PRESCRIBING · PART D · 2024

Total Rx claims

259

Beneficiaries

—

Total drug cost

$98K

Distinct drugs

Brand share

95.0%

Top prescribed drugs

Buprenorphine Hcl/Naloxone Hcl179 claims

Buprenorphine35 claims

Buprenorphine Hcl/Naloxone Hcl32 claims

Buprenorphine Hcl13 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

No data available for this provider in 2024.

REFERRAL NETWORK

Where James Carroll's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 42 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
THE MERCY HOSPITAL INC	756	1,531
BAYSTATE MEDICAL CENTER INC	125	302
Jeffrey Friedman Diagnostic Radiology · Springfield, MA	123	202
RAY, SUBRATA	107	153
David Mernoff Diagnostic Radiology · Springfield, MA	106	176
Rashmi Balasubramanya Diagnostic Radiology · Aldan, PA	100	160
Jay Markham Cardiology · Springfield, MA	61	103
Natalee Georgantas Physician Assistant · Springfield, MA	43	72
Jillian Hevey Physician Assistant · Springfield, MA	39	49
Gary Montano Emergency Medicine · Springfield, MA	37	99
Meaghan Serra Physician Assistant · Springfield, MA	35	38
Danita Packard Nurse Practitioner · Cumberland, MD	33	36

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history