Peter Joseph O'Carroll III, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

N2220 Issued in TX

Practice address

1308E Paluxy Rd Ste 303
Granbury, TX 76048-5655

Phone

(817) 579-3948

Fax

(817) 579-3947

NPI assigned

Jun 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Neurology

Education

Louisiana State University School of Medicine in New Orleans, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lavear Medical PAGroup PAC ID 1951778307, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renew Home Health Home health agency, Fort Worth, TX, CCN 457893
• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
• Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
• Comanche County Medical Center Hospital, Comanche, TX, CCN 451382
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Baylor Institute for Rehabilitation at Fort Worth Inpatient rehabilitation facility, Fort Worth, TX, CCN 673035

Merit-based Incentive Payment System (MIPS)

Final score

89.53 of 100Reported as apm

Quality

79.07

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.o.carroll.1@25861.direct.athenahealth.com
• Direct secure messaging: peter.ocarroll.1@1293.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25861/brand/1/csg/1/fhir/r4

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.

• Lavear Medical, P.a

  • Neurology Physician
  • Fort Worth, TX
  • NPI 1720743982
  Medicare reassignment Care Compare group NPD
• Cowtown Headache Center and Neurodiagnostics, PLLC

  • Neurology Physician
  • Granbury, TX
  • NPI 1255126272
  NPD Authorized official

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

• Comanche County Medical Center Company

  • Critical Access Hospital
  • Comanche, TX
  • NPI 1346544616
  Care Compare affiliation
• Global Rehab Fort Worth, LP

  • Rehabilitation Hospital
  • Fort Worth, TX
  • NPI 1396902540

  Inpatient rehabilitation facility

  Care Compare affiliation
• Granbury Hospital Corporation

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation
• Maxus Healthcare Partners LLC

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1407191612
  Care Compare affiliation
• Somervell County Hospital District

  • Rural Acute Care Hospital
  • Glen Rose, TX
  • NPI 1700826575
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1811190812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308E PALUXY RD STE 303",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-579-3948",
            "fax_number": "817-579-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308E PALUXY RD STE 303",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-579-3948",
            "fax_number": "817-579-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CARROLL",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "N2220",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N2220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00736485",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203901801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.ocarroll.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1308E Paluxy Rd Ste 303",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760485655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northland Hearing Center, Inc.
• NTKC Management, LLC
• Nucardio Heart Center
• Nutrition Rooted, LLC
• Kelly Farrell O'Carroll, MD
• Wyatt Jacob O'Grady, D.D.S.
• Oak Partners LP
• Lucia Obergoenner, WHNP-BC
• Jennifer Dale Occhipinti, LCSW, LCDC
• Katelyn Odonnell

• Neurology Physician in Granbury, TX
• Providers in Granbury, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2020; 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.

Verify at the official NPI Registry.