Provider profile

James CarrollMD

Family Medicine

NPI 1598721078
16 Danforth St, Hoosick Falls, NY 12090518-686-5770

Check your plan

Medicare Advantage plans for Rensselaer County, NY.

Checked Oct 29, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 32 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list James on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 54 Medicare Advantage plans we show for Rensselaer County, NY in 2027

  • 32 list James
  • 21 not listed
  • 1 not checked yet

UnitedHealthcare

8 plans list James.

8plans
  • AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH3379-060-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC NY-29 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3379-052-000Medicare.gov
    $39a month
  • AARP Medicare Advantage from UHC NY-0015 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH3418-004-000Medicare.gov
    $44a month
  • UHC Complete Care NY-33 (HMO-POS C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with certain chronic conditionsDrug coverage3.5 starsH3379-056-000Medicare.gov
    $0a month

Aetna Medicare

6 plans list James.

6plans
  • Aetna Medicare Eagle Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-323-000Medicare.gov
    $0a month
  • Aetna Medicare Elite (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-119-000Medicare.gov
    $0a month
  • Aetna Medicare Signature (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH3312-108-000Medicare.gov
    $109a month
  • Aetna Medicare Enhanced (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-669-000Medicare.gov
    $149a month

Devoted

6 plans list James.

6plans
  • DEVOTED CHOICE 003 NY (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH5334-003-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK 004 NY (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH5334-004-000Medicare.gov
    $0a month
  • DEVOTED CHOICE GIVEBACK EXTRAS 029 NY (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverageH5334-029-000Medicare.gov
    $0a month
  • DEVOTED C-SNP CHOICE ENHANCED 017 NY (PPO C-SNP)

    Source: Devoted provider directory.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPOFor people with certain chronic conditionsDrug coverageH5334-017-000Medicare.gov
    $0a month

MVP HEALTH CARE

6 plans list James.

6plans
  • MVP Medicare Preferred Gold without Part D (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH3305-020-000Medicare.gov
    $0a month
  • MVP Medicare WellValue with Part D (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3305-038-000Medicare.gov
    $71a month
  • MVP Medicare Secure Plus with Part D (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3305-022-000Medicare.gov
    $165a month
  • MVP Medicare Secure Plus Choice with Part D (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3.5 starsH9615-025-000Medicare.gov
    $256a month

CDPHP Medicare Advantage

4 plans list James.

4plans
  • CDPHP $0 Medicare Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH3388-014-000Medicare.gov
    $0a month
  • CDPHP Core (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage3.5 starsH3388-001-000Medicare.gov
    $0a month
  • CDPHP Clear Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH3388-020-000Medicare.gov
    $100a month
  • CDPHP Choice Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH3388-002-000Medicare.gov
    $139a month

Humana

2 plans list James; not listed on 1 other plan.

2plans
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage3 starsH5970-016-000Medicare.gov
    $0a month
  • HumanaChoice H5970-029 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 16 Danforth St, Hoosick Falls, NY, 12090

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH5970-029-000Medicare.gov
    $65a month

Anthem Blue Cross and Blue Shield HP

Not listed on its 1 plan here. That isn't proof they're out of network.

Hamaspik, Inc.

Not listed on its 1 plan here. That isn't proof they're out of network.

Highmark Blue Cross Blue Shield or Highmark Blue Shield

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

Nascentia Health Plus

Not listed on its 2 plans here. That isn't proof they're out of network.

Trinity Health Plan New York

Not listed on its 3 plans here. That isn't proof they're out of network.

VNS Health Medicare

Not listed on its 3 plans here. That isn't proof they're out of network.

Wellcare

Not listed on its 10 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether James takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

16 Danforth St
Hoosick Falls, NY 12090

NPI Registry
NPI issued
2006
Registry record updated
Jul 21, 2022

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list James Carroll?

In Rensselaer County, NY, 32 Medicare Advantage plans for 2027 list James in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS), AARP Medicare Advantage from UHC NY-29 (HMO-POS) and AARP Medicare Advantage from UHC NY-0015 (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does James Carroll take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists James on 8 Medicare Advantage plans for 2027 in Rensselaer County, NY, including AARP Medicare Advantage Patriot No Rx NY-MA3 (HMO-POS) and AARP Medicare Advantage from UHC NY-29 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does James Carroll take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists James on 6 Medicare Advantage plans for 2027 in Rensselaer County, NY, including Aetna Medicare Eagle Giveback (PPO) and Aetna Medicare Elite (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Does James Carroll take Devoted Medicare Advantage plans?

Carrier directories and Medicare.gov provider data list James on 6 Medicare Advantage plans for 2027 in Rensselaer County, NY, including DEVOTED CHOICE 003 NY (PPO) and DEVOTED CHOICE GIVEBACK 004 NY (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Devoted before you enroll.

Where does James Carroll practice?

16 Danforth St, Hoosick Falls, NY 12090.

How do I confirm James is in my plan's network?

Call the member services number on your plan card and give them the NPI 1598721078, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for James Carroll on 20 plans from Anthem Blue Cross and Blue Shield HP, Hamaspik, Inc., Nascentia Health Plus, Trinity Health Plan New York, VNS Health Medicare and Wellcare in Rensselaer County, NY. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2022-07-21). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 29, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by James Carroll or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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