TANNON DAJUAN CARROLL (MD) – Interventional Cardiology Physician, NPI 1154484715
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
780 INTERVENTIONAL CARDIOLOGY in TX
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Provider Addresses for TANNON DAJUAN CARROLL (MD)
35, Austin Pond Road, Town of Johnsburg, Warren County, New York, 12853, United States
SUITE 300
AUSTIN, TX 787011926
Phone: (512) 324-8300
Fax: (512) 324-8301
Type: Mailing
301, Seton Parkway, Round Rock, Williamson County, Texas, 78665, United States
SUITE 302
ROUND ROCK, TX 786658002
Phone: (512) 324-4812
Fax: (512) 324-4728
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $1,836.
Total Amount is formed as General ($1,836) + Research ($0) + Ownership ($0) = $1,836.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($754).
Total Amount
$1,836
General + Research + Ownership
Payments
32
Total payment records
General Amount
$1,836
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-12-17
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 |
|---|---|---|---|---|
| I20131217000386 | I | Interventional Cardiology | TX | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 692 | 441 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 514 | 386 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 479 | 463 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 169 | 77 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 111 | 106 | $0 |
Insurance plans in this area (ZIP 78701)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Infectious Disease | MI | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| D E R M A T O L O G Y | TX | |
| - | NY | |
| - | TX | |
| - | TX | |
| Orthopedic Surgery | TX |
Reviews
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