James Carroll, M.D.
NPI 1962439695 · Emergency Medicine Physician · Springfield, MA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Carroll, M.D. is a Emergency Medicine Physician provider in Springfield, MA (NPI 1962439695).
Provider details
- NPI number
- 1962439695
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 230239 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
349 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 110 | $61 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 72 | $171 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 52 | $92 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 46 | $182 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 30 | $118 |
| 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 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 179 | 55 |
| Buprenorphinebrand: Sublocade | 35 | — |
| Buprenorphine Hcl/Naloxone Hclbrand: Suboxone | 32 | 11 |
| Buprenorphine Hcl | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-27
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Frequently asked questions
- What is James Carroll's NPI number?
- James Carroll's National Provider Identifier (NPI) is 1962439695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Carroll's specialty?
- James Carroll is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Carroll located?
- James Carroll's practice location on file with NPPES is 271 Carew St, Springfield, MA 01104-2377.
- What is James Carroll's phone number?
- The practice phone number listed in the NPPES registry for James Carroll is (413) 748-9137.
- Does James Carroll accept Medicare?
- James Carroll is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Carroll's NPI active?
- Yes — James Carroll's NPI (1962439695) is active in the NPPES registry as of the last update on 2025-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.