Active NPI 1427018514 Individual Practitioner Male Practitioner

Dr. Paul F Carroll , MD

Orthopaedic Surgery • Lancaster, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Paul Carroll, MD is a certified Orthopaedic Surgery practicing in Lancaster, PA. With approximately 34 years of clinical experience since graduating from New York Medical College in 1992, Dr. Carroll delivers high-quality medical care to the local community at 170 N POINTE BLVD.

Dr. Carroll maintains professional affiliations with Orthopedic Assoc Of Lancaster Ltd, Phoenix Rehabilitation And Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg, 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

170 N Pointe Blvd

Lancaster, PA 176014132

Telephone 7172994871

Fax 7173912494

Associated Practice Facility / Clinic

🏢 Orthopedic Assoc Of Lancaster Ltd Facility NPI 1609835933

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Lancaster, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +11.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

52 Specialists

Practicing in Lancaster, PA (1345 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carroll (34 Years) 34 Yrs

Lancaster Specialty Average (22.4 Years) 22.4 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
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	960	14	$35.85	$8.84
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	293	62	$18.72	$7.00
99213 Established patient office or other outpatient visit, typically 15 minutes	160	109	$197.00	$85.80
20610 Aspiration and/or injection of fluid from large joint	125	69	$236.50	$67.42
73560 X-ray of knee, 1-2 views	111	70	$84.00	$31.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	87	$295.00	$121.24
73030 X-ray of shoulder, minimum of 2 views	59	37	$86.00	$29.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$295.00	$105.44
72170 X-ray of pelvis, 1-2 views	15	13	$76.00	$25.88
73502 X-ray of hip, 2-3 views	15	11	$120.00	$37.06
73562 X-ray of knee, 3 views	14	14	$100.00	$39.51
27447 Replacement of knee joint, both sides of knee	13	13	$4489.00	$1214.68
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$113.00	$36.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	992	16	$35.85	$9.06
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	264	53	$18.72	$6.62
99213 Established patient office or other outpatient visit, typically 15 minutes	161	114	$197.00	$86.24
20610 Aspiration and/or injection of fluid from large joint	134	72	$235.86	$67.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	104	$295.00	$122.25
73560 X-ray of knee, 1-2 views	101	68	$84.00	$32.18
73030 X-ray of shoulder, minimum of 2 views	44	35	$86.00	$32.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$295.00	$107.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$460.00	$159.95
73502 X-ray of hip, 2-3 views	17	12	$120.00	$35.17
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$113.00	$34.89
73221 Mri scan of arm joint without contrast	14	14	$1217.00	$136.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,344	18	$35.85	$10.08
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	302	64	$18.72	$6.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	122	$295.00	$124.40
20610 Aspiration and/or injection of fluid from large joint	159	77	$237.31	$69.14
73560 X-ray of knee, 1-2 views	94	63	$84.00	$33.02
99213 Established patient office or other outpatient visit, typically 15 minutes	77	58	$197.00	$88.12
73030 X-ray of shoulder, minimum of 2 views	46	37	$86.00	$32.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$460.00	$162.70
73502 X-ray of hip, 2-3 views	26	15	$120.00	$40.22
73562 X-ray of knee, 3 views	15	14	$100.00	$32.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,296	21	$35.85	$10.58
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	381	74	$18.72	$7.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	132	$295.00	$126.24
20610 Aspiration and/or injection of fluid from large joint	151	87	$232.80	$68.89
99213 Established patient office or other outpatient visit, typically 15 minutes	121	93	$197.00	$90.44
73560 X-ray of knee, 1-2 views	111	79	$84.00	$33.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$460.00	$164.49
73030 X-ray of shoulder, minimum of 2 views	60	38	$86.00	$33.03
73502 X-ray of hip, 2-3 views	23	17	$120.00	$34.64
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$113.00	$38.33
72170 X-ray of pelvis, 1-2 views	15	15	$76.00	$27.21
73562 X-ray of knee, 3 views	12	12	$100.00	$33.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	896	14	$35.85	$10.87
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	223	50	$18.72	$7.04
99213 Established patient office or other outpatient visit, typically 15 minutes	148	95	$197.00	$71.95
20610 Aspiration and/or injection of fluid from large joint	102	61	$222.38	$63.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	83	$295.00	$106.82
73560 X-ray of knee, 1-2 views	64	48	$84.00	$31.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$295.00	$99.10
73030 X-ray of shoulder, minimum of 2 views	41	35	$86.00	$30.62
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$113.00	$31.95
72170 X-ray of pelvis, 1-2 views	15	15	$76.00	$25.14
73221 Mri scan of arm joint without contrast	13	13	$1217.00	$142.45
73562 X-ray of knee, 3 views	11	11	$100.00	$30.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,216	20	$35.85	$11.25
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	330	75	$18.72	$6.78
99213 Established patient office or other outpatient visit, typically 15 minutes	195	133	$197.00	$72.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	127	$295.00	$106.38
20610 Aspiration and/or injection of fluid from large joint	141	84	$239.40	$61.63
73560 X-ray of knee, 1-2 views	124	80	$84.00	$30.69
73030 X-ray of shoulder, minimum of 2 views	53	42	$86.00	$27.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$295.00	$106.02
73502 X-ray of hip, 2-3 views	34	25	$120.00	$31.88
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$292.25	$100.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$460.00	$161.54
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$113.00	$33.68
73562 X-ray of knee, 3 views	15	15	$100.00	$30.11
72170 X-ray of pelvis, 1-2 views	14	12	$76.00	$31.60
73221 Mri scan of arm joint without contrast	12	12	$1217.00	$155.28
72040 X-ray of upper spine, 2-3 views	11	11	$107.00	$33.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,568	25	$35.85	$11.01
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	384	89	$18.72	$6.93
99213 Established patient office or other outpatient visit, typically 15 minutes	242	138	$197.00	$70.22
20610 Aspiration and/or injection of fluid from large joint	161	101	$247.05	$60.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	115	$295.00	$102.92
73560 X-ray of knee, 1-2 views	143	96	$84.00	$29.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$295.00	$103.81
73030 X-ray of shoulder, minimum of 2 views	50	44	$86.00	$27.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$460.00	$160.91
73502 X-ray of hip, 2-3 views	20	14	$120.00	$35.16
72170 X-ray of pelvis, 1-2 views	17	13	$76.00	$27.76
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$290.00	$100.16
27447 Replacement of knee joint, both sides of knee	15	15	$4489.00	$1354.82
73562 X-ray of knee, 3 views	14	13	$100.00	$30.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$394.00	$134.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,248	21	$35.85	$12.31
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	294	66	$18.72	$6.53
99213 Established patient office or other outpatient visit, typically 15 minutes	190	114	$197.00	$69.27
20610 Aspiration and/or injection of fluid from large joint	144	76	$243.37	$61.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	104	$295.00	$102.29
73560 X-ray of knee, 1-2 views	115	69	$84.00	$28.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$295.00	$104.48
73030 X-ray of shoulder, minimum of 2 views	41	31	$86.00	$25.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$460.00	$154.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$401.54	$134.22
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$113.00	$33.19

Medical Specialties & State Licenses

CMS Verified: 2021-02-12

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD068134L

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License PA MD068134L

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Orthopaedic Surgery - Orthopaedic Trauma

NUCC Taxonomy Code: 207XX0801X

State License PA MD068134L

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0017477430004 (PA)

Commercial Insurance / Payer ID Blue Cross

01840501 (PA)

Commercial Insurance / Payer ID Railroad Medicare

200035164 (PA)

Commercial Insurance / Payer ID Amerihealthmercy

1121513 (PA)

Commercial Insurance / Payer ID Healthamerica/healthassur

113781 (PA)

Commercial Insurance / Payer ID Blue Shield

461550 (PA)

Commercial Insurance / Payer ID Aetna

2187113 (PA)

Hospital & Practice Group Affiliations

Orthopedic Assoc Of Lancaster Ltd

212 Willow Valley Lakes Dr, Willow Street, PA 175849668

Phone: 7172994871

Orthopedic Assoc Of Lancaster Ltd

170 N Pointe Blvd, Lancaster, PA 176014132

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Orthopedic Assoc Of Lancaster Ltd

2913 Spooky Nook Rd, Manheim, PA 175459149

Phone: 7172994871

Orthopedic Assoc Of Lancaster Ltd

1701 Cornwall Rd, Lebanon, PA 170427480

Phone: 7172994871

Orthopedic Assoc Of Lancaster Ltd

170 N Pointe Blvd, Lancaster, PA 176014132

Phone: 7172994871

Secondary Practice Locations

1701 Cornwall Rd Ste 200

Lebanon, PA 170427480

Phone: 7172994871

2913 Spooky Nook Rd Ste 100

Manheim, PA 175459149

Phone: 7172994871

212 Willow Valley Lakes Dr Ste 201

Willow Street, PA 175849668

Phone: 7172994871

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Alexandria Starks , MD

Orthopaedic Surgery

NPI 1003226846

Doctor of Medicine (M.D.)

Daniel Brown

Occupational Therapist - Hand

NPI 1003590688

Dr. Thomas Sherman , MD

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1013208156

Doctor of Medicine (M.D.)

Miranda Harlan , OT CHT

Occupational Therapist

NPI 1033139605

OTCHT

Dr. Jeffrey Conly , MD

Physical Medicine & Rehabilitation

NPI 1033275045

Doctor of Medicine (M.D.)

Christopher Wanyo

Physical Therapist

NPI 1053869099

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) February 12, 2021

Orthopaedic Surgery (License #MD068134L in PA)

✅

NPI Profile Active November 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 26, 2010

Registered at 170 N POINTE BLVD, LANCASTER, PA 176014132 (Tel: 7172994871)

📍

Updated Business Mailing Address November 26, 2010

Registered at 170 N POINTE BLVD, LANCASTER, PA 176014132 (Tel: 7172994871)

👤

Provider Name / Credentials Updated November 26, 2010

Recorded as PAUL CARROLL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2010

Orthopaedic Surgery (License #MD068134L in PA)

🟢

Initial NPI Registration & Enumeration March 24, 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: 1427018514

Entity Type:

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

Enumeration Date: March 24, 2006

Last Update: February 12, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

170 N Pointe Blvd

Lancaster, PA 176014132

Phone: 7172994871

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.