Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy David Carroll, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306307913

Jeremy David Carroll, MD is an Orthopedic Surgery in Hyannis, Massachusetts. Qualified in 2019, 7 years ago. Practices with Cape Cod Orthopedics and Sports Medicine PC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

130 N St Ste A
Hyannis, MA 02601-3825
Phone: (508) 775-8282
Fax: (508) 775-8280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 47 New Scotland Ave, Albany, NY 12208-3412 — (518) 489-2666

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 1024165 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306307913
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address47 New Scotland Ave, Dept. Of Orthopaedic Surgery, Albany, NY 12208-3412

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cape Cod Orthopedics And Sports Medicine Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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