James Carroll, M.D.
Surgery Physician · Worcester, MA
James Carroll, M.D. is a surgery physician with a practice address in Worcester, Massachusetts, and NPI 1992854681, issued on Jan 10, 2007. Check the license (Massachusetts 238407, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; the Medicare figures below come from public CMS files.
- Name
- James Carroll
- Credential
- M.D.
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 238407 MA
Self-reported in NPPES; status is on the state search - Practice location
- 55 Lake Ave N, Worcester, MA 01655
- Phone
- (508) 334-0545
- Enumerated
- Jan 10, 2007
- Record last updated
- Nov 2, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (774) 443-0544
- Medicaid ID
- 110095660A MA
- Medicare enrollment
- Enrolled (PECOS I20130828000426); accepts Medicare assignment
- Medical or professional school
- Warren Alpert Medical School Of Brown University, 2006
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 1,003 in Massachusetts → Look up another NPI →
Also registered at 55 Lake Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Zainab AbbasDermatology Physician1609028000
- Mary-Alice Abbott, MDClinical Genetics (M.D.) Physician1982799417
Verify James Carroll in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
Search for license 238407Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The MIPS final score for 2023 (Medicare payment program): 97 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $172.90
2 payments; by number, the most common kind was food and beverage; the largest payer was Janssen Pharmaceuticals, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Umass Memorial Medical Group IncWorcester, MA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James Carroll among 1,003 surgery physician records in Massachusetts
James Carroll, M.D. is one of 1,003 surgery physician records with a practice address in Massachusetts. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 42% of them.
- NPI issued2007 · 42% of these records are older, 50% newer
- In a Medicare fileYes · 66% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated2006 · median 2003 among the 503 with a school on file
- Record last updated2020 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Massachusetts practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Massachusetts
There are 1,003 surgery physician records in Massachusetts.
All 1,003 in Massachusetts → Every provider in Worcester → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- James Avruch, M.D.Worcester, MA 016551285954172
- Mitchell Cahan, M.D.Worcester, MA 016551306827043
- Hongyi Cui, M.D.Worcester, MA 016551093866113
- Gil Freitas, M.D.Worcester, MA 016551922268275
- John Kelly, M.D.Worcester, MA 016551356325062
- Jennifer Lafemina, MDWorcester, MA 016551598713570
- Anne Larkin, M.D.Worcester, MA 016551518949452
- Demetrius Litwin, M.D.Worcester, MA 016551144204272
Common questions
What is James Carroll, M.D.'s NPI number?
James Carroll, M.D.'s National Provider Identifier (NPI) is 1992854681, issued on Jan 10, 2007. An NPI identifies a provider in billing; it is not a license.
Where is James Carroll, M.D. located?
The NPPES record lists a practice address at 55 Lake Ave N, Worcester, MA, 01655. Phone: (508) 334-0545. Providers update this record themselves, so call before visiting.
How can I verify James Carroll, M.D.'s license?
NPPES lists Massachusetts license number 238407, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is James Carroll, M.D.'s MIPS final score?
The 2023 MIPS final score is 97 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.