Active NPI 1699738252 Individual Practitioner Male Practitioner

Dr. Michael Carroll , MD

Surgery • Biddeford, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Carroll, MD is a certified Surgery practicing in Biddeford, ME. With approximately 36 years of clinical experience since graduating from University Of Vermont College Of Medicine in 1990, Dr. Carroll delivers high-quality medical care to the local community at 9 HEALTHCARE DRIVE.

Dr. Carroll is affiliated with Mainehealth and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital inpatient care per day, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9 Healthcare Drive
Suite 204

Biddeford, ME 040053742

Telephone 2072842630

Fax 2072842631

Associated Practice Facility / Clinic

🏢 Primecare Physician Associates Facility NPI 1831150911

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Biddeford, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +16.6 yrs vs City Avg

City Avg: 19.4 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

14 Specialists

Practicing in Biddeford, ME (246 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carroll (36 Years) 36 Yrs

Biddeford Specialty Average (19.4 Years) 19.4 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	15	$223.96	$119.57
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$209.64	$82.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$427.38	$174.55
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$199.62	$78.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$183.91	$84.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$238.36	$105.97

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	22	22	$163.17	$82.69
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$145.04	$71.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$121.14	$73.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$273.30	$138.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$168.37	$77.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	25	$108.18	$66.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$238.04	$134.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$191.75	$99.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$147.46	$83.42

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	27	27	$146.00	$76.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$248.94	$130.40
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$123.14	$51.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$49.92	$25.99

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	50	50	$145.46	$75.77
99213 Established patient office or other outpatient visit, typically 15 minutes	43	35	$93.63	$49.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$225.38	$128.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$31.73	$25.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$181.53	$75.92
49650 Repair of groin hernia using an endoscope	19	19	$1317.47	$463.34
47562 Removal of gallbladder using an endoscope	11	11	$1835.00	$657.64

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	54	54	$88.81	$75.32
99213 Established patient office or other outpatient visit, typically 15 minutes	44	39	$58.34	$50.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$151.51	$127.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	27	$29.25	$25.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$95.94	$74.73
49650 Repair of groin hernia using an endoscope	13	13	$1073.23	$381.53
47562 Removal of gallbladder using an endoscope	11	11	$1763.82	$647.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	48	$30.19	$25.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$150.00	$127.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$91.17	$74.46
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$58.00	$50.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	23	$191.00	$129.92
47562 Removal of gallbladder using an endoscope	26	26	$1748.00	$643.65
49650 Repair of groin hernia using an endoscope	19	19	$1411.11	$508.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$90.00	$77.50

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ME 014332

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

269230099 (ME)

Commercial Insurance / Payer ID Aetna

1041112 (ME)

Commercial Insurance / Payer ID Cigna

620050901

Commercial Insurance / Payer ID Harvard Pilgrim

G33685 (ME)

Commercial Insurance / Payer ID Anthem

030300 (ME)

Hospital & Practice Group Affiliations

Mainehealth

1 Medical Ctr Dr, Biddeford, ME 040059422

Phone: 2072824270

Mainehealth

22 Bramhall St, Portland, ME 041023134

Phone: 2078859905

Mainehealth

9 Healthcare Dr, Biddeford, ME 040059449

Phone: 2072830998

Mainehealth

9 Healthcare Dr, Biddeford, ME 040059445

Mainehealth

72 Main St, Kennebunk, ME 040437021

Phone: 2074678810

Practice Associates & Co-Workers

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

16 Associated Practitioners

Dr. Cynthia Chao , MD

Surgery

NPI 1124164207

Doctor of Medicine (M.D.)

Ashley Mcmillian , PA

Physician Assistant - Surgical

NPI 1215670724

Physician Assistant

Tara Thomas , FNP-C

Nurse Practitioner - Family

NPI 1275972192

Family Nurse Practitioner (Certified)

Rhys Hackford-Silva , PA-C

Physician Assistant - Surgical

NPI 1285097436

Physician Assistant (Certified)

Dr. David Skavdahl , MD

Surgery

NPI 1346686219

Doctor of Medicine (M.D.)

Dr. John Nadeau , DO

Surgery

NPI 1366623548

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 18, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2013

Registered at 9 HEALTHCARE DRIVE, SUITE 204, BIDDEFORD, ME 040053742 (Tel: 2072842630)

📍

Updated Business Mailing Address September 18, 2013

Registered at 1 MEDICAL DR, BIDDEFORD, ME 040059422 (Tel: 2072829080)

👤

Provider Name / Credentials Updated September 18, 2013

Recorded as MICHAEL CARROLL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2013

Surgery (License #014332 in ME)

🟢

Initial NPI Registration & Enumeration April 06, 2006

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: 1699738252

Entity Type:

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

Enumeration Date: April 06, 2006

Last Update: September 18, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Medical Dr

Biddeford, ME 040059422

Phone: 2072829080

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.