LOREN CARROLL (MD) – Family Medicine Physician, NPI 1104168178
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,210 FAMILY PRACTICE in TN
Provider Addresses for LOREN CARROLL (MD)
346 SHADOW RIDGE DR
JACKSON, TN 383058507
Phone: (731) 345-0263
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 136 Open Payments records for all available years, with a total value of $2,504.
Total Amount is formed as General ($2,504) + Research ($0) + Ownership ($0) = $2,504.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($457).
Total Amount
$2,504
General + Research + Ownership
Payments
136
Total payment records
General Amount
$2,504
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $457 |
| ABBVIE INC. | $353 |
| Otsuka America Pharmaceutical, Inc. | $200 |
| Sumitomo Pharma America, Inc. | $179 |
| Amgen Inc. | $157 |
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: 2015-04-21
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 |
|---|---|---|---|---|
| I20150421001883 | I | Family Practice | TN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 475 | 233 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 228 | 131 | $0 |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 115 | 112 | $0 |
| 71046 | X-ray of chest, 2 views | 89 | 66 | $0 |
| 81002 | Urinalysis, manual test | 82 | 51 | $0 |
Insurance plans in this area (ZIP 38305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | TN | |
| Hospitalist, Internal Medicine | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | FL | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | TN |
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