MARY ANNE CARROLL (MD) – Obstetrics & Gynecology Physician, NPI 1235162116
Obstetrics & Gynecology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,164 OBSTETRICS/GYNECOLOGY in TX
Provider Addresses for MARY ANNE CARROLL (MD)
MAINE MEDICAL CENTER
22 BRAMHALL STREET
PORTLAND, ME 04102
Phone: (207) 662-0111
Type: Mailing
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
LUBBOCK, TX 794308340
Phone: (806) 761-0770
Fax: (806) 761-0776
Type: Mailing
TEXAS TECH UNIVERSITY HEALTH SCIENCES CEMTER
LUBBOCK, TX 794300001
Phone: (806) 761-0770
Fax: (806) 761-0776
Type: Location
The Vanderbilt Clinic, Medical Center Drive, Nashville, Davidson County, Tennessee, 37212, United States
NASHVILLE, TN 372320001
Phone: (615) 322-3000
Fax: (615) 936-0605
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091231000363 | I | Obstetrics/Gynecology | TN | TBD |
| I20191023002405 | I | Obstetrics/Gynecology | TX | TBD |
| I20230220001401 | I | Obstetrics/Gynecology | ME | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | ME | |
| - | ME | |
| - | ME | |
| - | ME | |
| Family Practice, Hospice/Palliative Care | ME | |
| Pediatric Medicine, Endocrinology | MA | |
| - | ME | |
| Family Practice | ME | |
| Nurse Practitioner | ME |
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