Individual provider Active NPI

Sean Thomas Carroll, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Erie, PA
National Provider Identifier
1194776047
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
OS009150L Issued in PA
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

Updated by the provider on Dec 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110321000429 PA Practitioner - Otolaryngology 0547346371 Reassigns benefits to 2 organizations

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
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

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 Hospital, Erie, PA, CCN 390063
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Jan 1, 2023 Accepting new patients
Ear Nose and Throat Specialists of Northwestern Pennsylvania CurrentSince Jul 1, 2001 Accepting new patients
Westfield Memorial Hospital, Inc. Past Accepting new patients
Ear Nose and Throat Specialists of Northwestern Pennsylvania PastSince Jul 1, 2001 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

  • Direct secure messaging: scarroll54610@upmc.direct-ci.com
  • Direct secure messaging: seancarroll@entsnwpa.allscriptsdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.