1. Home
  2. Directory
  3. Rhode Island
  4. Cranston
  5. Family Medicine
  6. NPI Profile

DR. MICHAEL DAMIAN MCCARTEN D.O.
NPI 1033198767
Family Medicine in Cranston, RI

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
1540 PONTIAC AVE, CRANSTON, RI 02920(401) 781-7000(401) 781-1062 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2025, Sep 20, 2016 (2 updates tracked since 2016).

About Dr. Michael Damian Mccarten D.o. NPPES

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

DR. MICHAEL DAMIAN MCCARTEN D.O. (NPI 1033198767) is an individual family medicine provider in Cranston, Rhode Island, licensed in Rhode Island (DO01135) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Windham, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1033198767
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL DAMIAN MCCARTENCredential: D.O.
Location Address1540 PONTIAC AVECranston, RI 02920-4815
Mailing Address1540 Pontiac AveCranston, RI 02920-4815 · (401) 781-7000 · Fax (401) 781-1062
Phone(401) 781-7000
Fax(401) 781-1062
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJanuary 11, 2006
Last NPPES UpdateOctober 21, 20252 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
✔ NPI 1033198767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in RI · DO01135
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1540 PONTIAC AVE, Cranston, RI 02920
Open in Google Maps ↗

Secondary Practice Location 1

Location 15 Industrial Dr Unit B, Elliot Family Medicine at WindhamWindham, NH 03087-2021 · Phone (603) 894-0063 · Fax (603) 894-9727

Other Identifiers 1

Medicaid3091703NH

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

Dr. Michael Damian Mccarten D.o. 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 ID1658508197
PECOS Enrollment IDI20220202001004
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

2

Medicare enrollment records show Michael Mccarten reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Justice Assistance
Same address
Family Medicine
1540 PONTIAC AVE
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 3 clinicians in this Medicare group
NPI 1386374015 (401) 781-7000
Wood River Health Services, Inc.
22 mi
Federally Qualified Health Center (FQHC)
823 MAIN STREET
Hope Valley, RI 02832
  • Reassigned Medicare billing, Rhode Island enrollment
  • 30 clinicians in this Medicare group
NPI 1417947383 (401) 539-2461

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%54 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

MONIQUE HARRIS
Community Health Worker
1540 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 781-7000
JUSTICE ASSISTANCE
Family Medicine
1540 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 781-7000
ROBYN ANN FRYE CPRS
Peer Specialist
1540 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 781-7000
CASSANDRA LEE LAMOUNTAIN NP-C
Nurse Practitioner (Family)
1540 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 781-0537
LAUREN HOLLY MSW
Social Worker (Clinical)
1540 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 781-7000

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 Michael Mccarten's NPI number?

The NPI number for Michael Mccarten is 1033198767. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Michael Mccarten located?

Michael Mccarten practices at 1540 Pontiac Ave, Cranston, RI 02920. The listed phone number is (401) 781-7000.

What is Michael Mccarten's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Mccarten enrolled in Medicare?

Yes. Michael Mccarten 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 Michael Mccarten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mccarten reassigns Medicare benefits to 2 organizations: Justice Assistance (Cranston, RI) and Wood River Health Services, Inc. (Hope Valley, RI). 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 Michael Mccarten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Mccarten was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.