DR. LANCE CARROLL (M.D.) – Family Medicine Physician, NPI 1619050952

DR. LANCE CARROLL (M.D.) is a healthcare provider. based in Bastrop, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. K6448 (TX). The NPI Number for DR. LANCE CARROLL (M.D.) is 1619050952

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. LANCE CARROLL (M.D.)
NPI
1619050952
Phone
(512) 644-7283
Address
P.O. BOX 850
Enumeration Date
23 October 2006
Last Update Date
6 July 2012

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7138933792
Graduation Year
1997 (29 years ago)
PAC ID
1456320886
Group Practice PAC ID
5496840928
Professional Enrollment ID
I20041001000094
Address ID
TX770425246HO3711XDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for DR. LANCE CARROLL (M.D.)

  • P.O. BOX 850

    BASTROP, TX 78602

    Phone: (512) 644-7283

    Fax: (512) 532-0809

    Type: Mailing

  • 1205, Walnut Street, Bastrop, Bastrop County, Texas, 78602, United States

    BASTROP, TX 786023944

    Phone: (512) 644-7283

    Fax: (512) 304-0323

    Type: Location

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: 2004-10-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041001000094IFamily PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 78602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496840928View full group profile

Reviews

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Frequently asked questions

How is DR. LANCE CARROLL (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. LANCE CARROLL (M.D.) with NPI 1619050952.
Is DR. LANCE CARROLL (M.D.) listed as active for patients and plans?
The listing shows DR. LANCE CARROLL (M.D.) as active in the NPI system.
What taxonomy line describes DR. LANCE CARROLL (M.D.)?
For research purposes, treat DR. LANCE CARROLL (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LANCE CARROLL (M.D.)?
DR. LANCE CARROLL (M.D.)'s geographic hint is Bastrop, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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