NPI Details
DR. Edmund Thomas Carroll, D.O. is an orthopaedic surgery in Lewes, DE with 30 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Edmund Thomas Carroll, D.O. NPI is 1629029749. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1995
The provider's business location address is:
12100 BLACK SWAN DRIVE
SUITE 201
LEWES, DE
ZIP 19958-988
Phone: (302) 644-3311
Fax: (302) 644-3300
The NPI 1629029749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg (HCPCS:J7328)
- Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg (HCPCS:J7329)
- Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg (HCPCS:J3304)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- X-ray of knee, 3 views (HCPCS:73562)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose (HCPCS:J7323)
- X-ray of knee, 1-2 views (HCPCS:73560)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- X-ray of both hips, minimum of 5 views (HCPCS:73523)
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- X-ray of both knees while standing (HCPCS:73565)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- X-ray of shoulder, 1 view (HCPCS:73020)
- Removal of knee cartilage using an endoscope (HCPCS:29881)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
The enumeration date for this NPI number is 5/13/2006 and was last updated on 1/23/2020.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | C20007511 | DELAWARE | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 204955 | OTHER | | UNISON HEALTH PLAN |
| 2 | 3638665 | OTHER | | AETNA US HEALTHCARE |
| 3 | 51-0370286 | OTHER | | UNION LABOR LIFE INSURANCE COMPANY |
| 4 | 51-0370286 | OTHER | | UNITED HEALTHCARE |
| 5 | 2129304 | OTHER | | ONENET PPO, MAMSI, OPTIMUM CHOICE |
| 6 | 51-0370286 | OTHER | | DEVON HEALTH SERVICES |
| 7 | 51-0370286 | OTHER | | CORVEL/CORCARE |
| 8 | 1184681488 | OTHER | | COMMERCIAL INSURANCES |
| 9 | 51-0343207 | OTHER | | BLUE CROSS BLUE SHIELD OF DELAWARE |
| 10 | 51-0370286 | OTHER | | CIGNA |
| 11 | 1000035330 | MEDICAID | DELAWARE | |
| 12 | 2356448000 | OTHER | | AMERIHEALTH |
| 13 | 51-0370286 | OTHER | | HEALTH NET - TRICARE/CHAMPUS |
| 14 | 51-0370286 | OTHER | | GREAT-WEST HEALTHCARE |
| 15 | P00247768 | OTHER | | RAILROAD MEDICARE |
