2026 NPPES data Hospice and Palliative Medicine (Internal Medicine) Physician NPI 1902078413 M.D., PH.D.
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THOMAS CARROLL, M.D., PH.D.

Hospice and Palliative Medicine (Internal Medicine) Physician in ROCHESTER, New York. 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
3K
Medicare Part D claims · 351 beneficiaries · Hospice and Palliative Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.8466/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$164.67
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: THOMAS CARROLL, M.D., PH.D. is a Hospice and Palliative Medicine (Internal Medicine) Physician ([object Object]) practicing in ROCHESTER, New York with a Medicare Part D prescribing footprint of 3K claims across 351 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 76.8466/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $164.67 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: THOMAS CARROLL, M.D., PH.D. reported a CMS MIPS final score of 76.8466 out of 100, below the 83.1 national average, and filed 2,851 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

THOMAS CARROLL, M.D., PH.D. 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).

THOMAS CARROLL, M.D., PH.D. at a glance

Below national average

NPI registry status

Active

Issued 03/25/2008

NPI 1902078413

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) Physician

Niche

1,524 US NPIs in this specialty

Medicare Part D claims

2,851 124% vs specialty avg

2023 prescription claims

Specialty avg: 1,275

MIPS final score

76.8466/100 6.253399999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Hospice and Palliative Medicine (Internal Medicine) Physician compares to other specialties among New York providers

New York providers

Hospice and Palliative Medicine (Internal Medicine) Physician share within New York

1. Hospice and Palliative Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospice and Palliative Medicine (Internal Medicine) Physician share within New York

Medicare quality performance — MIPS

THOMAS CARROLL, M.D., PH.D.'s 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
76.8466/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospice and Palliative Medicine (Internal Medicine) Physician) — 76.8466/100 vs national avg 83.1

0%100%National avg83%76.8%
MIPS final score (Hospice and Palliative Medicine (Internal Medicine) Physician) — 76.8466/100 vs national avg 83.1

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).

THOMAS CARROLL, M.D., PH.D. is a Hospice and Palliative Medicine (Internal Medicine) Physician provider practicing in ROCHESTER, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D., PH.D.. NPI: 1902078413. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

THOMAS CARROLL, M.D., PH.D. appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Internal Medicine) Physician provider holding M.D., PH.D. credentials at 601 ELMWOOD AVE, ROCHESTER, NY, 14642, with a listed phone of (585) 275-7424. NPI 1902078413 was issued on 03/25/2008. 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 2,851 prescription claims written by this provider, covering 351 Medicare beneficiaries and totaling roughly $342K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 18.0%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.8466/100 for the 2023 performance year (Quality 68.2024, Cost 42.684), compared with the national average of 83.1.

Hospice and Palliative Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 1,524 enrolled providers across 51 states and an average of 1,275 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

601 ELMWOOD AVE
ROCHESTER, NY 14642

Provider Details

NPI 1902078413
Specialty Hospice and Palliative Medicine (Internal Medicine) Physician
Credentials M.D., PH.D.
Gender Male
NPI Issued 03/25/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

76.8466
Final Score
Avg: 83.1
68.2024
Quality
42.684
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where THOMAS CARROLL, M.D., PH.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.

STRONG PALLIATIVE CARE GROUP
ROCHESTER, NY
UNIVERSITY OF ROCHESTER
ROCHESTER, NY

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for THOMAS CARROLL, M.D., PH.D.. Source: openpaymentsdata.cms.gov.

Total received

$165

Largest payer

Stryker Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to THOMAS CARROLL, M.D., PH.D.. To verify THOMAS CARROLL, M.D., PH.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

THOMAS CARROLL, M.D., PH.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,851 2023 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 2023.

2,851
Total Claims
$342K
Total Drug Cost
351
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,347
Total Day Supply
153,680
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$272K
Generic Drug Cost
$69K
Opioid Claims
514 (18.0% rate)
Antibiotic Claims
19

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.68
Gender Split
43% female / 57% male
Age Distribution
<65: 86, 65-74: 142, 75-84: 96, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
195
Atorvastatin Calcium
159
Amlodipine Besylate
141
Levothyroxine Sodium
89
Hydromorphone Hcl
70
Mirtazapine
69
Gabapentin
68
Omeprazole
58
Morphine Sulfate
53
Alprazolam
50

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

Hospice and Palliative Medicine (Internal Medicine) Physician Overview

How THOMAS CARROLL, M.D., PH.D. fits within the Hospice and Palliative Medicine (Internal Medicine) Physician landscape nationally.

1,524
Hospice and Palliative Medicine (Internal Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Internal Medicine) Physician
1,275
Avg Claims per Provider

THOMAS CARROLL, M.D., PH.D.'s 2,851 claims are above the specialty average of 1,275.

Nearby Hospice and Palliative Medicine (Internal Medicine) Physician Providers in New York

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

Compare Hospice and Palliative Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS CARROLL, M.D., PH.D.'s specialty?
THOMAS CARROLL, M.D., PH.D. specializes in Hospice and Palliative Medicine (Internal Medicine) Physician and practices in ROCHESTER, New York. Credentials: M.D., PH.D..
How much does THOMAS CARROLL, M.D., PH.D. prescribe under Medicare Part D?
In 2023, THOMAS CARROLL, M.D., PH.D. wrote 2,851 Medicare Part D claims totaling $342K in drug costs for 351 beneficiaries.
What is THOMAS CARROLL, M.D., PH.D.'s Medicare quality score?
THOMAS CARROLL, M.D., PH.D. has a CMS MIPS Final Score of 76.8466/100 (Quality: 68.2024, Cost: 42.684). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS CARROLL, M.D., PH.D. located?
THOMAS CARROLL, M.D., PH.D. is located at 601 ELMWOOD AVE, ROCHESTER, NY, 14642. Phone: (585) 275-7424.
What is THOMAS CARROLL, M.D., PH.D.'s NPI number?
THOMAS CARROLL, M.D., PH.D.'s National Provider Identifier (NPI) is 1902078413, issued on 03/25/2008.
Does THOMAS CARROLL, M.D., PH.D. prescribe more brand-name or generic drugs?
THOMAS CARROLL, M.D., PH.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $272K in brand drug costs.
Does THOMAS CARROLL, M.D., PH.D. prescribe opioids?
Yes, THOMAS CARROLL, M.D., PH.D. had 514 opioid claims in 2023 with an opioid prescribing rate of 18.0%.
How many Hospice and Palliative Medicine (Internal Medicine) Physician providers are there in the US?
There are 1,524 Hospice and Palliative Medicine (Internal Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Internal Medicine) Physician provider writes 1,275 Medicare Part D claims per year.
What drugs does THOMAS CARROLL, M.D., PH.D. prescribe most often?
Based on 2023 Medicare Part D data, THOMAS CARROLL, M.D., PH.D.'s most frequently prescribed drugs include Oxycodone Hcl, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS CARROLL, M.D., PH.D. accept Medicare?
THOMAS CARROLL, M.D., PH.D. appears in CMS Medicare data with 2,851 Part D claims and 351 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS CARROLL, M.D., PH.D.'s credentials?
THOMAS CARROLL, M.D., PH.D.'s NPI is 1902078413 with credentials M.D., PH.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.
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 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