MR. JOHN L CARROLL (PA-C) – Physician Assistant, NPI 1679689616
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. JOHN L CARROLL (PA-C)
1800, East Park Avenue, State College, Centre County, Pennsylvania, 16803, United States
STATE COLLEGE, PA 16803
Phone: (814) 231-7850
Type: Location
955 BELLEFONTE AVE
LOCK HAVEN, PA 177453033
Phone: (570) 748-7714
Fax: (570) 893-6325
Type: Location
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
514, Bellefonte Avenue, Lock Haven, Clinton County, Pennsylvania, 17745, United States
LOCK HAVEN, PA 17745
Phone: (570) 748-6632
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Sirtex Medical Inc ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sirtex Medical Inc | $21 |
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: 2009-02-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090210000316 | I | Physician Assistant | PA | 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 16803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Emergency Medicine | PA | |
| - | PA | |
| Diagnostic Radiology | NJ | |
| - | PA | |
| Diagnostic Radiology | PA | |
| - | PA | |
| - | PA | |
| A N E S T H E S I O L O G Y | PA | |
| P A T H O L O G Y | PA |
Reviews
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