Active NPI
Sean Thomas Carroll, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- OS009150L
- Practice address
- 380 E Bayfront Pkwy Ste 3
Erie, PA 16507-2408 - Phone
- (814) 877-9060
- Fax
- (814) 877-9089
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | OS009150L | PA | Primary |
Addresses
Primary practice location
380 E Bayfront Pkwy Ste 3
Erie, PA 16507-2408
Mailing address
380 E Bayfront Pkwy Ste 3
Erie, PA 16507-2408
Phone (814) 877-9060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
201 State St
Erie, PA 16550-0002
Phone (814) 877-6000
2654 M L King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 637-0093
3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381
Hospital & facility affiliations
- Upmc Hamot
- Upmc Chautauqua at Wca
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.89 of 100
- Quality
- 65.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services Inc | Current | Accepting new patients | |
| Ear Nose and Throat Specialists of Northwestern Pennsylvania | Current | Accepting new patients | |
| Westfield Memorial Hospital, Inc. | Past | Accepting new patients | |
| Ear Nose and Throat Specialists of Northwestern Pennsylvania | Past | Accepting new patients |
Locations
207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
3580 Peach St
Erie, PA 16508
Phone (814) 864-9994
1645 W 8th St
Ste 200
Erie, PA 16505
Phone (814) 864-9994
380 E Bayfront Pkwy
Ste 3
Erie, PA 16507
Phone (814) 877-9060
3580 Peach St
Spc Of
Erie, PA 16508
1645 W 8th St
#200
Erie, PA 16505
Phone (814) 864-9994
2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203
Interoperability endpoints
- scarroll54610@upmc.direct-ci.com
- seancarroll@entsnwpa.allscriptsdirect.net
- sean.t.carroll@upmcdirect.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
- Otolaryngology Physician
- Erie, PA
- NPI 1194754846
-
- Audiologist
- Erie, PA
- NPI 1710991559
-
- General Acute Care Hospital
- Westfield, NY
- NPI 1942236427
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1487647590
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
-
- General Acute Care Hospital
- Jamestown, NY
- NPI 1770573222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1194776047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 E BAYFRONT PKWY STE 3",
"city": "ERIE",
"state": "PA",
"postal_code": "165072408",
"telephone_number": "814-877-9060",
"fax_number": "814-877-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E BAYFRONT PKWY STE 3",
"city": "ERIE",
"state": "PA",
"postal_code": "165072408",
"telephone_number": "814-877-9060",
"fax_number": "814-877-9089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "SEAN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "PA",
"license": "OS009150L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.