NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1346227956 MD
Verify on CMS → James Carroll, MD
Internal Medicine Physician in Lebanon, New Hampshire.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 174,792 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 187 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1/100
▲ 7 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
James Carroll, MD reported a CMS MIPS final score of 90.1/100 - above the 83.5 national average - and filed 1,336 Medicare Part D claims in 2024.
- 90.1/100
- MIPS score · +7 vs avg
- 1K
- Part D claims, 2024
- 50%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about James Carroll, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1346227956), first enumerated 12/23/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,336 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 90.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1346227956 · Internal Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ABOVE · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1346227956
- ENUM-LEGACY 2005
- TAX-MEGA 175K Internal Medicine
- MIPS-ABOVE 90.1/100
- RX-MID 1,336
- BOOK-LIGHT 779 in New Hampshire
- PHOTO-FINISH Omar Ahmed · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Carroll · this p…
Carroll · this provider
90.1 MIPS pts
- Charles Lagoy · …
Charles Lagoy
90.1 MIPS pts
- Omar Ahmed · near
Omar Ahmed
90.1 MIPS pts
- Megan Batchelder…
Megan Batchelder
90.1 MIPS pts
- Richard Boster ·…
Richard Boster
90.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
James Carroll, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
90 ≥ 58th percentile 58% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where James Carroll, MD sits
This provider among internal medicine physician peers
Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Carroll, MD writes more Part D claims than 61% of them and scores higher on MIPS quality than 57% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is James Carroll, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Carroll, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Carroll, MD?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
1,336 52% vs specialty avg
MIPS final score
90.1/100 6.6 pts vs avg
Specialty distribution in New Hampshire
How Internal Medicine Physician compares to other specialties among New Hampshire providers
Medicare quality performance, MIPS
James Carroll, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 90.1/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1346227956 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/23/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.0519
Final Score
Measured-score avg: 83.5
50.173
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where James Carroll, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Mary Hitchcock Memorial Hospital
★★★☆☆ 3/5
Lebanon, NH
Acute Care Hospitals
CMS CCN: 300003
Dartmouth-Hitchcock Clinic
Lebanon, NH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Brand-heavy
James Carroll, MD - brand share 50.0%
Internal Medicine Physician average
50% brand-name claims vs 50% generic, on 1,336 2024 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
1,336
Total Claims
$709K
Total Drug Cost
187
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,026.667
- Total Day Supply
- 52,860
- Brand vs Generic
- 50% brand / 50% generic
- Brand Drug Cost
- $697K
- Generic Drug Cost
- $12K
- Antibiotic Claims
- 201
Patient Demographics
- Average Patient Age
- 71.9 years
- Avg HCC Risk Score
- 1.55
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 26, 65-74: 87, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What James Carroll, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Prednisone
Prednisone
219 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
155 claims
- Azithromycin
Azithromycin
132 claims
- Stiolto Respimat 78
Stiolto Respimat
78 claims
- Trelegy Ellipta 46
Trelegy Ellipta
46 claims
- Montelukast Sodium 45
Montelukast Sodium
45 claims
- Dupixent Pen 43
Dupixent Pen
43 claims
- Spiriva Respimat 43
Spiriva Respimat
43 claims
| Drug | Claims |
|---|---|
| Prednisone | 219 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 155 |
| Azithromycin | 132 |
| Stiolto Respimat Tiotropium Br/Olodaterol Hcl | 78 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 46 |
| Montelukast Sodium | 45 |
| Dupixent Pen Dupilumab | 43 |
| Spiriva Respimat Tiotropium Bromide | 43 |
| Nucala Mepolizumab | 38 |
| Breo Ellipta Fluticasone/Vilanterol | 37 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How James Carroll, MD fits within the Internal Medicine Physician landscape nationally.
174,792
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,785
Avg Claims per Provider
James Carroll, MD's 1,336 claims are below the specialty average of 2,785.
Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Carroll, both outside New Hampshire so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (90.1 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Internal Medicine Physician Providers in New Hampshire
Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Carroll.
One of 779 Internal Medicine Physician providers enrolled in New Hampshire, 5 are shown here.
Dr. Lauren Abbott
MD
Portsmouth, NH
Dr. Cherif Abdelmalek
M.D.
Nashua, NH
Dr. Champa Abeysinghe
M.D.
New London, NH
Dr. Suzanne Abkowitz
MD
North Conway, NH
Dr. Arthur Ablayev
MD
Concord, NH
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is James Carroll, MD's specialty? ▼
James Carroll, MD specializes in Internal Medicine Physician and practices in Lebanon, New Hampshire. Credentials: MD.
How much does James Carroll, MD prescribe under Medicare Part D? ▼
In 2024, James Carroll, MD wrote 1,336 Medicare Part D claims totaling $709K in drug costs for 187 beneficiaries.
What is James Carroll, MD's Medicare quality score? ▼
James Carroll, MD has a CMS MIPS Final Score of 90.1/100, Cost: 50.2. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Carroll, MD located? ▼
James Carroll, MD is located at 1 MEDICAL CENTER DR, Lebanon, NH, 03756. Phone: (603) 650-5533.
What is James Carroll, MD's NPI number? ▼
James Carroll, MD's National Provider Identifier (NPI) is 1346227956, issued on 12/23/2005.
Does James Carroll, MD prescribe more brand-name or generic drugs? ▼
James Carroll, MD's prescribing is 50% brand-name and 50% generic drugs by claim count, with $697K in brand drug costs.
How many Internal Medicine Physician providers are there in the US? ▼
There are 174,792 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,785 Medicare Part D claims per year.
What drugs does James Carroll, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, James Carroll, MD's most frequently prescribed drugs include Prednisone, Albuterol Sulfate Hfa, Azithromycin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Carroll, MD accept Medicare? ▼
James Carroll, MD appears in CMS Medicare data with 1,336 Part D claims and 187 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Carroll, MD's credentials? ▼
James Carroll, MD's NPI is 1346227956 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.