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CONOR MCCARTNEY M.D.
NPI 1003158221
Internal Medicine in Saint Louis, MO

Active since March 26, 2013PECOS EnrolledAccepts Medicare Assignment
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 652-4100 Get Directions Write a Review

NPPES record last updated: April 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2024, Oct 8, 2021, Aug 20, 2016 (3 updates tracked since 2016).

About Conor Mccartney M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONOR MCCARTNEY M.D. (NPI 1003158221) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (2016006388) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1003158221
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCONOR MCCARTNEYCredential: M.D.
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing AddressPo Box 505146Saint Louis, MO 63150-5146
Phone(314) 652-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 26, 2013
Last NPPES UpdateApril 6, 20243 updates tracked since enumeration
NPPES CertifiedApril 6, 2024
✔ NPI 1003158221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2016006388
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
915 N GRAND BLVD, Saint Louis, MO 63106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Conor Mccartney M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537461082
PECOS Enrollment IDI20160517001703, I20250107003855
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Conor Mccartney reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Group
1.3 mi
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
NPI 1306589544 (314) 977-6100
Slh Physicians LLC
1.4 mi
Emergency Medicine
3635 VISTA AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 194 clinicians in this Medicare group
NPI 1881668051 (314) 577-8000
Physician Specialists Of St Lukes LLC
15 mi
Internal Medicine
232 S WOODS MILL RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 215 clinicians in this Medicare group
NPI 1235168410 (314) 434-1500
Dr. Petre I Anguelinin, LLC
15 mi
Internal Medicine
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 22 clinicians in this Medicare group
NPI 1265538177 (636) 207-0277
Dhhs, Phs, Naihs, Gallup Indian Medical Center
1,037 mi
Public Health, Federal
007 CHOOSGAI DRIVE
Tohatchi, NM 87325
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
NPI 1902875594 (505) 722-1000
Sapphire At Gresham Rehab, LLC
1,709 mi
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1033740899 (503) 666-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$18.05 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$113.83 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$26.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MATTHEW CHRISTOPHER SIMPSON O.D.
Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. CHARMIN MEYATTA GIBSON M.S.W.
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4110
STEPHANIE ADAMS
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 289-7676
NAGLA ABDELMALEK M.D.
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
DR. JAMES MICHAEL HASIK DDS
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. TRACY LANES CRNA
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. KRISTY LYNNE WILDT PA-C
Physician Assistant
915 N GRAND BLVD, JOHN COCHRAN VETERANS ADMINISTRATION MEDICAL CENTER
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MRS. DEBRA ANN WALLER-LEE LCSW
Social Worker (Clinical)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conor Mccartney's NPI number?

The NPI number for Conor Mccartney is 1003158221. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Conor Mccartney located?

Conor Mccartney practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 652-4100.

What is Conor Mccartney's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Conor Mccartney enrolled in Medicare?

Yes. Conor Mccartney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Conor Mccartney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Conor Mccartney reassigns Medicare benefits to 6 organizations: Ssm Health Care Group (Saint Louis, MO), Slh Physicians LLC (Saint Louis, MO), Physician Specialists Of St Lukes LLC (Chesterfield, MO), Dr. Petre I Anguelinin, LLC (Fenton, MO), Dhhs, Phs, Naihs, Gallup Indian Medical Center (Tohatchi, NM) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Conor Mccartney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Conor Mccartney affiliated with any hospitals?

According to CMS data, Conor Mccartney is affiliated with Gallup Indian Medical Center.

When was this NPI record last updated?

The NPPES record for Conor Mccartney was last updated on April 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.