Active NPI 1023048436 Individual Practitioner Male Practitioner

Dr. James P Carroll , MD

Surgery • Mckinney, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Carroll, MD is a certified Surgery practicing in Mckinney, TX. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Carroll delivers high-quality medical care to the local community at 5236 W UNIVERSITY DR STE 2900.

Dr. Carroll maintains professional affiliations with Urgent Specialty Associates Of Texas Pllc, Urgent Specialty Associates Pllc, Surgicalist Of Tx Pllc 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 care with straightforward or low-level medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5236 W University Dr Ste 2900

Mckinney, TX 750718117

Telephone 4696176550

Fax 5122442479

Associated Practice Facility / Clinic

🏢 Sigma Surgical Llc Facility NPI 1487481206

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mckinney, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +5.1 yrs vs City Avg

City Avg: 22.9 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

16 Specialists

Practicing in Mckinney, TX (2342 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carroll (28 Years) 28 Yrs

Mckinney Specialty Average (22.9 Years) 22.9 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	191	133	$220.00	$75.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$405.00	$124.44
99238 Hospital discharge day management, 30 minutes or less	27	27	$220.00	$77.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	14	$310.00	$112.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	16	$120.00	$47.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$600.00	$165.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	134	95	$220.00	$76.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	97	75	$310.00	$114.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	47	$600.00	$166.69
99238 Hospital discharge day management, 30 minutes or less	32	32	$220.00	$77.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	22	$120.00	$47.60
99291 Critical care, first 30-74 minutes	16	16	$810.00	$204.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$405.00	$124.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	83	61	$120.00	$37.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	45	$220.00	$68.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	29	$310.00	$98.19
99291 Critical care, first 30-74 minutes	27	26	$810.00	$209.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$405.00	$130.65
99238 Hospital discharge day management, 30 minutes or less	12	12	$220.00	$69.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	39	$115.00	$69.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$315.00	$193.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	83	$115.00	$71.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$315.00	$201.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	19	$160.00	$104.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$225.00	$137.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$85.00	$39.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	47	$112.67	$71.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	38	$85.00	$38.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$315.00	$199.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$225.00	$135.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	12	$85.00	$38.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	18	$85.00	$38.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	17	$110.00	$70.03

Medical Specialties & State Licenses

CMS Verified: 2025-08-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX L6818

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.

Surgery - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License TX L6818

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Hospital & Practice Group Affiliations

Urgent Specialty Associates Pllc

1850 Town Ctr Pkwy, Reston, VA 201903204

Phone: 7036899000

Urgent Specialty Associates Of Texas Pllc

21214 Northwest Fwy, Cypress, TX 774292105

Phone: 8329123500

Christus Trinity Clinic

800 E Dawson St, Tyler, TX 757012036

Phone: 9035101186

Christus Trinity Clinic

620 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036064900

Surgicalist Of Tx Pllc

2700 E 29th St, Bryan, TX 778022587

Phone: 9793158122

Urgent Specialty Associates Pllc

7101 Jahnke Rd, Richmond, VA 232254017

Phone: 8044830000

Christus Trinity Clinic

630 S Fleishel Ave, Tyler, TX 757012041

Phone: 9036065560

Urgent Specialty Associates Of Texas Pllc

500 W Medical Ctr Blvd, Webster, TX 775984220

Phone: 2813322511

Urgent Specialty Associates Of Texas Pllc

7101 S Padre Island Dr, Corpus Christi, TX 784124913

Phone: 3617611000

Secondary Practice Locations

7200 Wyoming Springs Dr Ste 500

Round Rock, TX 786814307

Phone: 5122440111

630 S Fleishel Ave

Tyler, TX 757012041

Phone: 9036065560

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. Rodney Lewis , MD

Surgery

NPI 1073519088

Doctor of Medicine (M.D.)

Dr. Colin Doyle , MD

Surgery

NPI 1215355680

Doctor of Medicine (M.D.)

Dr. Wade Dunlap , MD

Surgery

NPI 1528265360

Doctor of Medicine (M.D.)

Dr. Mario Longoria , MD

Surgery

NPI 1578542460

Doctor of Medicine (M.D.)

Dr. Bratcher Runyan , MD

Surgery

NPI 1730300211

Doctor of Medicine (M.D.)

Dr. Andy Hawthorne , MD

Surgery

NPI 1801919881

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2025

Surgery (License #L6818 in TX)

📍

Updated Practice Location February 02, 2022

Registered at 5236 W UNIVERSITY DR STE 2900, MCKINNEY, TX 750718117 (Tel: 4696176550)

📍

Updated Business Mailing Address February 02, 2022

Registered at 7200 WYOMING SPRINGS DR STE 500, ROUND ROCK, TX 786814307 (Tel: 5122440111)

✅

NPI Profile Active September 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2012

Registered at 2710 SWISS AVENUE, DALLAS, TX 752045900 (Tel: 2148211599)

📍

Updated Business Mailing Address September 28, 2012

Registered at 3701 JUNIUS ST, CS11 G006, DALLAS, TX 752462026 (Tel: 2148211599)

👤

Provider Name / Credentials Updated September 28, 2012

Recorded as JAMES CARROLL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2012

Surgery (License #L6818 in TX)

🟢

Initial NPI Registration & Enumeration July 03, 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: 1023048436

Entity Type:

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

Enumeration Date: July 03, 2006

Last Update: August 12, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7200 Wyoming Springs Dr Ste 500

Round Rock, TX 786814307

Phone: 5122440111

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.