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

Q: 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.

Q: What is Michael Mccarten's specialty?

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

Q: When was this NPI record last updated?

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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