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MR. DOUGLAS GORDON MCCARTY I PHYSICAN ASSISTANT
NPI 1043315880
Physician Assistant in Moreno Valley, CA

Active since September 14, 2006PECOS Enrolled
12980 FREDERICK ST STE I, MORENO VALLEY, CA 92553(951) 924-3244(951) 243-6976 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Douglas Gordon Mccarty I Physican Assistant NPPES

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

MR. DOUGLAS GORDON MCCARTY I PHYSICAN ASSISTANT (NPI 1043315880) is an individual physician assistant in Moreno Valley, California, licensed in California (PA11412) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043315880
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DOUGLAS GORDON MCCARTY ICredential: PHYSICAN ASSISTANT
Location Address12980 FREDERICK ST STE IMoreno Valley, CA 92553-5263
Mailing AddressPo Box 1958, 32382 Pine Manor LaneRunning Springs, CA 92382-1958 · (909) 800-1121 · Fax (909) 867-2852
Phone(951) 924-3244
Fax(951) 243-6976
Sole ProprietorYes
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043315880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA11412
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
12980 FREDERICK ST STE I, Moreno Valley, CA 92553
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Other Names 1

Former Name (1)Mr. Doug Gordon Mccarty Physician Assistant

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Douglas Gordon Mccarty I Physican Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92553 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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 3

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

FABIOLA RUIZ DE MARTINEZ NP
Family Medicine
12980 FREDERICK ST STE I
MORENO VALLEY, CA 92553
Riverside County (951) 243-3868
DR. DAVID K DONG M.D.
Pediatrics
12980 FREDERICK ST STE I
MORENO VALLEY, CA 92553
Riverside County (951) 684-8020
STANLEY H SCHWARTZ MD, INC
Internal Medicine
12980 FREDERICK ST STE I
MORENO VALLEY, CA 92553
Riverside County (951) 243-6838

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 Douglas Mccarty's NPI number?

The NPI number for Douglas Mccarty is 1043315880. It was assigned to this individual provider in the NPPES registry on September 14, 2006. The provider is also known as Mr. Doug Gordon Mccarty Physician Assistant.

Where is Douglas Mccarty located?

Douglas Mccarty practices at 12980 Frederick St Ste I, Moreno Valley, CA 92553. The listed phone number is (951) 924-3244.

What is Douglas Mccarty's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Douglas Mccarty enrolled in Medicare?

Yes. Douglas Mccarty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Douglas Mccarty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.