Active NPI 1962439695 Individual Practitioner Male Practitioner

Dr. James Francis Carroll , MD

Emergency Medicine • Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Carroll, MD is a certified Emergency Medicine practicing in Springfield, MA. With approximately 27 years of clinical experience since graduating from Albany Medical College Of Union University in 1999, Dr. Carroll delivers high-quality medical care to the local community at 271 CAREW ST.

Dr. Carroll maintains professional affiliations with Mercy Inpatient Medical Associates Inc, On Call Urgent Care, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include testing for presence of drug, by chemistry analyzers, emergency department visit for life threatening or functioning severity, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

271 Carew St

Springfield, MA 011042377

Telephone 4137489137

Fax 4134526049

Associated Practice Facility / Clinic

🏢 Springfield Radiation Oncology Facility NPI 1659379956

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +13.2 yrs vs City Avg

City Avg: 13.8 Yrs

State Avg: 24.2 Yrs

Regional Practice Density

123 Specialists

Practicing in Springfield, MA (1875 Statewide)

Telehealth Adoption Rate

1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carroll (27 Years) 27 Yrs

Springfield Specialty Average (13.8 Years) 13.8 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
80307 Testing for presence of drug, by chemistry analyzers	110	40	$225.00	$60.90
99285 Emergency department visit for life threatening or functioning severity	72	70	$388.53	$170.85
99213 Established patient office or other outpatient visit, typically 15 minutes	52	19	$160.00	$92.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	19	$275.00	$182.28
99284 Emergency department visit with moderate level of medical decision making	30	30	$276.50	$118.49
G0480 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	22	18	$250.00	$112.14
99283 Emergency department visit with low level of medical decision making	17	17	$145.76	$69.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	117	49	$225.00	$59.34
99285 Emergency department visit for life threatening or functioning severity	100	99	$379.00	$175.83
99213 Established patient office or other outpatient visit, typically 15 minutes	42	23	$160.00	$88.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	20	$275.00	$182.64
G0480 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	41	33	$250.00	$112.14
99292 Critical care, each additional 30 minutes	35	31	$271.00	$107.45
99284 Emergency department visit with moderate level of medical decision making	34	34	$257.00	$121.03
99291 Critical care, first 30-74 minutes	33	32	$607.00	$214.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$200.00	$130.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80307 Testing for presence of drug, by chemistry analyzers	170	69	$225.00	$61.38
99285 Emergency department visit for life threatening or functioning severity	84	80	$379.00	$180.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	30	$275.00	$186.65
G0480 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	48	38	$250.00	$113.00
99213 Established patient office or other outpatient visit, typically 15 minutes	43	25	$160.00	$94.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	23	$200.00	$130.91
99284 Emergency department visit with moderate level of medical decision making	40	40	$257.00	$124.15
99291 Critical care, first 30-74 minutes	30	30	$607.00	$215.75
99292 Critical care, each additional 30 minutes	29	29	$271.00	$108.22
81025 Urine pregnancy test	25	12	$30.00	$8.52
36415 Insertion of needle into vein for collection of blood sample	16	15	$13.00	$2.96
84450 Liver enzyme (sgot), level	14	13	$30.00	$5.11
84460 Liver enzyme (sgpt), level	14	13	$30.00	$5.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	150	145	$379.00	$185.37
80307 Testing for presence of drug, by chemistry analyzers	142	65	$225.00	$62.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	26	$261.91	$189.34
99213 Established patient office or other outpatient visit, typically 15 minutes	54	29	$148.15	$92.95
99291 Critical care, first 30-74 minutes	49	49	$607.00	$227.97
99284 Emergency department visit with moderate level of medical decision making	48	47	$257.00	$127.25
99292 Critical care, each additional 30 minutes	46	45	$271.00	$114.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	24	$192.76	$133.27
G0480 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	34	27	$250.00	$114.43
81025 Urine pregnancy test	21	11	$30.00	$8.61
99283 Emergency department visit with low level of medical decision making	15	14	$134.00	$74.92
36415 Insertion of needle into vein for collection of blood sample	14	14	$13.00	$3.00
84450 Liver enzyme (sgot), level	11	11	$30.00	$5.18
84460 Liver enzyme (sgpt), level	11	11	$30.00	$5.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	260	252	$384.11	$180.62
80307 Testing for presence of drug, by chemistry analyzers	147	62	$225.00	$61.86
99213 Established patient office or other outpatient visit, typically 15 minutes	146	64	$80.24	$76.81
G0480 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	100	50	$250.00	$113.77
99284 Emergency department visit with moderate level of medical decision making	75	75	$273.80	$124.08
99291 Critical care, first 30-74 minutes	46	46	$607.00	$231.39
99292 Critical care, each additional 30 minutes	39	39	$271.00	$116.34
99283 Emergency department visit with low level of medical decision making	22	22	$146.64	$67.59
81025 Urine pregnancy test	19	12	$30.00	$8.57
84450 Liver enzyme (sgot), level	12	12	$30.00	$5.16
84460 Liver enzyme (sgpt), level	12	12	$30.00	$5.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	241	235	$306.89	$174.18
99291 Critical care, first 30-74 minutes	105	102	$443.37	$224.29
99292 Critical care, each additional 30 minutes	95	86	$191.17	$112.34
80307 Testing for presence of drug, by chemistry analyzers	79	46	$225.00	$63.36
G0480 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	76	45	$250.00	$112.14
99213 Established patient office or other outpatient visit, typically 15 minutes	74	44	$80.00	$77.58
99220 Hospital observation care, typically 70 minutes	69	68	$293.62	$186.93
99284 Emergency department visit with moderate level of medical decision making	50	50	$218.22	$118.52
99283 Emergency department visit with low level of medical decision making	24	23	$134.88	$62.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	239	231	$290.00	$172.14
99291 Critical care, first 30-74 minutes	65	63	$400.00	$222.37
99292 Critical care, each additional 30 minutes	57	53	$175.00	$111.53
99220 Hospital observation care, typically 70 minutes	51	51	$289.71	$186.32
99284 Emergency department visit with moderate level of medical decision making	47	46	$190.00	$117.07
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$80.00	$74.29
80307 Testing for presence of drug, by chemistry analyzers	28	24	$225.00	$70.39
G0480 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	26	22	$250.00	$112.14
99283 Emergency department visit with low level of medical decision making	13	13	$135.00	$61.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	329	315	$290.00	$166.09
80307 Testing for presence of drug, by chemistry analyzers	89	48	$225.00	$62.85
G0480 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	81	46	$250.00	$115.30
99213 Established patient office or other outpatient visit, typically 15 minutes	77	45	$80.00	$71.30
99220 Hospital observation care, typically 70 minutes	64	64	$275.00	$180.18
99284 Emergency department visit with moderate level of medical decision making	59	59	$190.00	$112.81
99291 Critical care, first 30-74 minutes	53	52	$400.00	$215.72
99292 Critical care, each additional 30 minutes	43	30	$175.00	$108.18
99283 Emergency department visit with low level of medical decision making	11	11	$135.00	$59.49

Medical Specialties & State Licenses

CMS Verified: 2025-07-03

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License NH 11616

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.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License MA 230239

General Practice

NUCC Taxonomy Code: 208D00000X

State License CA C-203083

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License RI MD20713

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License CT 64723

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

30205340 (NH)

Medicaid State Provider ID

431921699 (ME)

Commercial Insurance / Payer ID Harvard Pilgrim

AA42092 (NH)

Commercial Insurance / Payer ID Bcbs Thru Seacoast Er Phy

01Y004184NH02 (NH)

Hospital & Practice Group Affiliations

Mercy Inpatient Medical Associates Inc

271 Carew St, Springfield, MA 011042377

Phone: 4137489321

On Call Urgent Care, Llc

568 Main St, Indian Orchard, MA 011511207

Phone: 4133017759

Practice Associates & Co-Workers

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

19 Associated Practitioners

Charles Milch , PA-C

Physician Assistant

NPI 1093724437

Physician Assistant (Certified)

Dr. Gary Montano , MD

Emergency Medicine

NPI 1104874155

Doctor of Medicine (M.D.)

Dr. Mark Kenton , DO

Emergency Medicine

NPI 1134162787

Doctor of Osteopathic Medicine (D.O.)

Leila Rebai , PA-C, MS

Physician Assistant - Medical

NPI 1164838389

Physician Assistant (Certified), Master of Science

Meaghan Serra , PA-C

Physician Assistant

NPI 1174875579

Physician Assistant (Certified)

Dr. Thomas Egan , MD

Emergency Medicine

NPI 1225197569

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2025

Emergency Medicine (License #230239 in MA)

✅

NPI Profile Active June 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2010

Registered at 271 CAREW ST, SPRINGFIELD, MA 011042377 (Tel: 4137489137)

📍

Updated Business Mailing Address June 17, 2010

Registered at 271 CAREW ST, SPRINGFIELD, MA 011042377 (Tel: 4137489137)

👤

Provider Name / Credentials Updated June 17, 2010

Recorded as JAMES CARROLL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2010

Emergency Medicine (License #11616 in NH)

🟢

Initial NPI Registration & Enumeration June 27, 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: 1962439695

Entity Type:

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

Enumeration Date: June 27, 2006

Last Update: July 03, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

271 Carew St

Springfield, MA 011042377

Phone: 4137489137

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.