GREGORY SAMUEL CARROLL (MD) – Anesthesiology Physician, NPI 1790875359

GREGORY SAMUEL CARROLL (MD) is a healthcare provider. based in Wheaton, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 036070976 (IL). The NPI Number for GREGORY SAMUEL CARROLL (MD) is 1790875359

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY SAMUEL CARROLL (MD)
NPI
1790875359
Phone
(630) 240-1688
Address
138 HAWKINS CIR
Enumeration Date
13 October 2006
Last Update Date
11 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087561000
Graduation Year
1984 (42 years ago)
PAC ID
6709874316
Group Practice PAC ID
4688893878
Professional Enrollment ID
I20040511001002
Address ID
IL604113400CH1423XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

Provider Addresses for GREGORY SAMUEL CARROLL (MD)

  • 138 HAWKINS CIR

    WHEATON, IL 601898472

    Phone: (630) 240-1688

    Type: Mailing

  • 800 BIESTERFIELD RD

    ELK GROVE VILLAGE, IL 600073361

    Phone: (630) 856-9000

    Type: Location

  • 255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    P. O. BOX 1123

    JACKSON, MI 492012218

    Phone: (517) 787-6440

    Fax: (517) 787-4146

    Type: Mailing

  • AMITA Health Adventist Medical Center, Hinsdale, 120, North Oak Street, Hinsdale, DuPage County, Illinois, 60521, United States

    HINSDALE, IL 60521

    Phone: (630) 856-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-06-28 • Largest payer in this snapshot: ABIOMED ($73).

Total Amount

$142

General + Research + Ownership

Payments

5

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040511001002IAnesthesiologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01922Anesthesia for x-ray or radiation therapy2222$0
36620Insertion of artery tube for blood sampling or infusion through skin2121$0
00560Anesthesia for procedure on heart and large blood vessels1919$0
00567Anesthesia for heart artery bypass grafting on heart-lung machine1212$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 60189)

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Provider's Procedures

GREGORY SAMUEL CARROLL (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin4040
ANESTHESIOLOGYIL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688893878View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementWI
Certified Registered Nurse Anesthetist (Crna)MI
-IL
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
-IL
Anesthesiology, Interventional Pain Management, Pain ManagementIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for GREGORY SAMUEL CARROLL (MD)?
GREGORY SAMUEL CARROLL (MD) — NPI 1790875359 — is the standard way to identify this listing.
Can I rely on GREGORY SAMUEL CARROLL (MD) being an active provider?
As of the registry snapshot, GREGORY SAMUEL CARROLL (MD) is marked active.
What is GREGORY SAMUEL CARROLL (MD)'s specialty?
The listing groups GREGORY SAMUEL CARROLL (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for GREGORY SAMUEL CARROLL (MD)?
GREGORY SAMUEL CARROLL (MD)'s geographic hint is Wheaton, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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