MR. DOUGLAS JOHN CARROLL (PA-C) – Medical Physician Assistant, NPI 1649428277
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
Provider Addresses for MR. DOUGLAS JOHN CARROLL (PA-C)
340 Steeles Rd
Bristol, TN 37620
Phone: (423) 282-9011
Fax: (423) 282-0035
Type: Location
875 Larry Neil Way
Kingsport, TN 376606368
Phone: (423) 282-9570
Fax: (423) 282-9572
Type: Location
800 S Mohawk Dr Ste C
Erwin, TN 376502124
Phone: (423) 735-4750
Type: Location
2410, Susannah Street, Princeton Hills, Johnson City, Washington County, Tennessee, 37601, United States
JOHNSON CITY, TN 376011748
Phone: (423) 282-9011
Type: Location
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 $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-04-03 • Largest payer in this snapshot: ConvaTec Inc. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $18 |
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: 2025-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20181003003038 | I | Physician Assistant | TN | TBD |
| I20250512001447 | I | Physician Assistant | VA | 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 |
|---|---|---|---|---|
| J7322 | Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg | 2,448 | 38 | $0 |
| J3304 | Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg | 1,056 | 16 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 602 | 109 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 288 | 65 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 256 | 149 | $0 |
Insurance plans in this area (ZIP 37620)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | TN | |
| Physician Assistant | TN | |
| Physical Therapist In Private Practice | AL | |
| - | TN | |
| Physical Therapist In Private Practice | TN | |
| - | TN | |
| Physical Therapist In Private Practice | TX | |
| Physician Assistant | TN | |
| Physical Therapist In Private Practice | TN | |
| Occupational Therapist In Private Practice | TN |
Reviews
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