Active NPI 1598752628 Individual Practitioner Female Practitioner

Kori L Carroll , PA

Physician Assistant • Champaign, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kori Carroll, PA is a certified Physician Assistant practicing in Champaign, IL. With approximately 27 years of clinical experience since completing medical education in 1999, Kori Carroll delivers high-quality medical care to the local community at 3105 FIELDS SOUTH DR.

Kori Carroll is affiliated with Carle Health Care Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of skin growth, destruction of precancer skin growth, 2-14 growths, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3105 Fields South Dr

Champaign, IL 618223743

Telephone 2179027527

Fax 2179027755

Associated Practice Facility / Clinic

🏢 Carle Health Care Incorporated Facility NPI 1235452996

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Champaign, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +11.6 yrs vs City Avg

City Avg: 15.4 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

43 Specialists

Practicing in Champaign, IL (4958 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

83.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carroll (27 Years) 27 Yrs

Champaign Specialty Average (15.4 Years) 15.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17000 Destruction of skin growth	70	37	$290.00	$37.42
17003 Destruction of precancer skin growth, 2-14 growths	67	31	$38.00	$1.62
17110 Destruction of up to 14 skin growths	49	33	$295.00	$52.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$94.00	$29.16
17003 Destruction of precancer skin growth, 2-14 growths	19	12	$38.00	$1.62
11102 Tangential biopsy of single skin lesion	19	18	$185.00	$26.88
17000 Destruction of skin growth	17	14	$290.00	$40.47
17110 Destruction of up to 14 skin growths	12	11	$295.00	$55.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	70	33	$37.33	$1.67
17000 Destruction of skin growth	69	39	$277.61	$39.22
17110 Destruction of up to 14 skin growths	35	27	$294.86	$53.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$90.00	$30.07
11102 Tangential biopsy of single skin lesion	16	14	$184.38	$26.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$570.00	$112.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$576.67	$112.79
11102 Tangential biopsy of single skin lesion	12	12	$175.00	$30.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$365.00	$70.89
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$730.00	$140.48
11102 Tangential biopsy of single skin lesion	11	11	$170.00	$28.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$365.00	$83.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$324.78	$82.17
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	16	$700.00	$139.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$333.70	$65.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$80.00	$22.34
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$680.00	$163.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$343.75	$67.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$105.54	$21.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	13	$165.00	$33.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$320.00	$65.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$74.00	$21.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	17	$165.00	$32.98
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$110.00	$41.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	12	$71.00	$21.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$267.50	$62.84
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$430.00	$85.51

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085001261

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

3103 Fields S Dr, Champaign, IL 618223743

Phone: 2179022300

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Carle Health Care Incorporated

516 W Madison St, Danville, IL 618325657

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Jennifer Lieb , NP

Nurse Practitioner

NPI 1659757847

Nurse Practitioner

Dr. Victor Stams , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1710148739

Doctor of Medicine (M.D.)

Dr. Paul Li , MD

Plastic Surgery

NPI 1801907431

Doctor of Medicine (M.D.)

Dr. Michael Nolte , MD

Plastic Surgery

NPI 1811370687

Doctor of Medicine (M.D.)

Hannah Mooney , PA

Physician Assistant

NPI 1891165510

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location April 23, 2019

Registered at 3105 FIELDS SOUTH DR, CHAMPAIGN, IL 618223743 (Tel: 2179027527)

📍

Updated Business Mailing Address April 23, 2019

Registered at 611 W PARK ST, URBANA, IL 618012529

✅

NPI Profile Active June 05, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2012

Registered at 1702 SOUTH MATTIS AVENUE, CHAMPAIGN, IL 61821 (Tel: 2173262000)

📍

Updated Business Mailing Address June 05, 2012

Registered at P.O. BOX 6002, URBANA, IL 618036002 (Tel: 2173268300)

👤

Provider Name / Credentials Updated June 05, 2012

Recorded as KORI CARROLL, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2012

Physician Assistant (License #085001261 in IL)

🟢

Initial NPI Registration & Enumeration October 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598752628

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 04, 2005

Last Update: April 23, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W Park St

Urbana, IL 618012529

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.