TIMOTHY GLENN CARROLL (MD) – Pediatric Critical Care Medicine Physician, NPI 1598852428
Pediatric Critical Care Medicine Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIMOTHY GLENN CARROLL (MD)
10140 CENTURION PKWY N
JACKSONVILLE, FL 322560532
Phone: (904) 697-4100
Fax: (904) 697-5102
Type: Mailing
8331 N DAVIS HWY
PENSACOLA, FL 325146094
Phone: (850) 505-4700
Fax: (850) 505-4711
Type: Location
6600, South Yale Avenue, Southridge Estates, Tulsa, Tulsa County, Oklahoma, 74137, United States
SUITE 1400
TULSA, OK 741363347
Phone: (918) 488-6001
Type: Mailing
Saint Francis Hospital, 6161, South Yale Avenue, Warrenton, Tulsa, Tulsa County, Oklahoma, 74136, United States
TULSA, OK 741361902
Phone: (918) 502-6135
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $213.
Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Ceribell, Inc. ($152).
Total Amount
$213
General + Research + Ownership
Payments
4
Total payment records
General Amount
$213
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ceribell, Inc. | $152 |
| Boston Scientific Corporation | $61 |
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: 2022-12-01
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 |
|---|---|---|---|---|
| I20110722000392 | I | Pediatric Medicine | OK | TBD |
| I20221201000251 | I | Critical Care (Intensivists) | FL | 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 32256)
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