2026 NPPES data Emergency Medicine Physician NPI 1962439695 M.D.
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JAMES CARROLL, M.D.

Emergency Medicine Physician in SPRINGFIELD, Massachusetts. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
397
Medicare Part D claims · 165 beneficiaries · Emergency Medicine Physician avg: 352

What the federal data shows

JAMES CARROLL, M.D. filed 397 Medicare Part D claims in 2023 as a Emergency Medicine Physician in SPRINGFIELD, Massachusetts.

397
Part D claims, 2023
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.

JAMES CARROLL, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

397 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JAMES CARROLL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/27/2006

NPI 1962439695

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

397 13% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in Massachusetts

How Emergency Medicine Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Emergency Medicine Physician share within Massachusetts

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

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).

JAMES CARROLL, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 271 CAREW ST, SPRINGFIELD, MA, 01104, with a listed phone of (413) 748-9137. NPI 1962439695 was issued on 06/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARROLL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 397 prescription claims written by this provider, covering 165 Medicare beneficiaries and totaling roughly $73K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

271 CAREW ST
SPRINGFIELD, MA 01104

Provider Details

NPI 1962439695
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/27/2006

Hospital and facility affiliations

Facilities where JAMES CARROLL, M.D. 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.

MERCY INPATIENT MEDICAL ASSOCIATES INC
SPRINGFIELD, MA
ON CALL URGENT CARE, LLC
INDIAN ORCHARD, MA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to JAMES CARROLL, M.D.. To verify JAMES CARROLL, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

397
Total Claims
$73K
Total Drug Cost
165
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
397
Total Day Supply
6,627
Generic Drug Cost
$17K
Antibiotic Claims
30

Patient Demographics

Average Patient Age
63.7 years
Avg HCC Risk Score
1.43
Gender Split
58% female / 42% male
Age Distribution
<65: 80, 65-74: 46, 75-84: 26, 85+: 13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JAMES CARROLL, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
184
Suboxone
Buprenorphine Hcl/Naloxone Hcl
62
Sublocade
Buprenorphine
16
Ondansetron Odt
Ondansetron
14
Buprenorphine Hcl
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Emergency Medicine Physician Overview

How JAMES CARROLL, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

JAMES CARROLL, M.D.'s 397 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Massachusetts

Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as CARROLL.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES CARROLL, M.D.'s specialty?
JAMES CARROLL, M.D. specializes in Emergency Medicine Physician and practices in SPRINGFIELD, Massachusetts. Credentials: M.D..
How much does JAMES CARROLL, M.D. prescribe under Medicare Part D?
In 2023, JAMES CARROLL, M.D. wrote 397 Medicare Part D claims totaling $73K in drug costs for 165 beneficiaries.
Where is JAMES CARROLL, M.D. located?
JAMES CARROLL, M.D. is located at 271 CAREW ST, SPRINGFIELD, MA, 01104. Phone: (413) 748-9137.
What is JAMES CARROLL, M.D.'s NPI number?
JAMES CARROLL, M.D.'s National Provider Identifier (NPI) is 1962439695, issued on 06/27/2006.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does JAMES CARROLL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES CARROLL, M.D.'s most frequently prescribed drugs include Buprenorphine-Naloxone, Suboxone, Sublocade. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES CARROLL, M.D. accept Medicare?
JAMES CARROLL, M.D. appears in CMS Medicare data with 397 Part D claims and 165 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES CARROLL, M.D.'s credentials?
JAMES CARROLL, M.D.'s NPI is 1962439695 with credentials M.D.. 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

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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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 April 2026 (NPPES) / 2023 (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