JOHN M MCCARTHY MD
NPI 1033327069
Internal Medicine in Canton, IL

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
180 S MAIN ST, CANTON, IL 61520(309) 647-0201(309) 649-8949 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John M Mccarthy Md NPPES

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

JOHN M MCCARTHY MD (NPI 1033327069) is an individual internal medicine provider in Canton, Illinois, licensed in Illinois (036117191) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2003).

NPPES Registry Identity

NPI1033327069
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN M MCCARTHYCredential: MD
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201 · Fax (309) 649-5302
Fax(309) 649-8949
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2003
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 25, 2011
✔ NPI 1033327069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036117191
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.
180 S MAIN ST, Canton, IL 61520

Other Identifiers 2

Medicaid036-117191IL
Other036117191IL · License Number

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

John M Mccarthy Md 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 ID6709968001
PECOS Enrollment IDI20080125000141
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

3

Medicare enrollment records show John Mccarthy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
Ambulatory Surgical
5401 N KNOXVILLE AVE, STE 217
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group

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 6

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.
301 services143 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
188 services87 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.
105 services104 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services25 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Mason District Hospital

Critical Access Hospitals · Havana, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141313
Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Audiologist
180 S MAIN ST
CANTON, IL 61520
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Nurse Practitioner
180 S MAIN ST
CANTON, IL 61520
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Physician Assistant
180 S MAIN ST
CANTON, IL 61520
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Clinic/Center (Rural Health)
180 S MAIN ST
CANTON, IL 61520

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 John Mccarthy's NPI number?

The NPI number for John Mccarthy is 1033327069. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is John Mccarthy located?

John Mccarthy practices at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is John Mccarthy's specialty?

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

Is John Mccarthy enrolled in Medicare?

Yes. John Mccarthy 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 John Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mccarthy reassigns Medicare benefits to 3 organizations: Methodist Medical Center Of Illinois (Peoria, IL), Proctor Health Systems (Peoria, IL) and Carle Health Medical Group (Urbana, IL). 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 John Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Mccarthy affiliated with any hospitals?

According to CMS data, John Mccarthy is affiliated with Graham Hospital Association, Proctor Hospital, Methodist Medical Center Of Illinois and Mason District Hospital.

When was this NPI record last updated?

The NPPES record for John Mccarthy was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.