DR. JOHN F MCCARTHY MD
NPI 1063479947
Family Medicine in Centerville, OH

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
220 E SPRING VALLEY PIKE, CENTERVILLE, OH 45458(937) 436-3117(937) 436-0730 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2021, Jan 11, 2016 (2 updates tracked since 2016).

About Dr. John F Mccarthy Md NPPES

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

DR. JOHN F MCCARTHY MD (NPI 1063479947) is an individual family medicine provider in Centerville, Ohio, licensed in Ohio (3505579M) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of University Of Cincinnati College Of Medicine (1986).

NPPES Registry Identity

NPI1063479947
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN F MCCARTHYCredential: MD
Location Address220 E SPRING VALLEY PIKECenterville, OH 45458-2653
Mailing Address220 Spring Valley RoadCenterville, OH 45458-2653 · (937) 436-3117 · Fax (937) 436-0730
Fax(937) 436-0730
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1986
Enumeration DateApril 26, 2006
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
NPI 1063479947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 3505579M
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.

220 E SPRING VALLEY PIKE, Centerville, OH 45458

Other Identifiers 1

Medicaid0669343OH

Accepted Insurance

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. John F 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 ID244365195
PECOS Enrollment IDI20100317000124
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45458 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers27 claims50 services$5.79 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers12 claims71 services$13.69 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers19 claims19 services$39.88 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$14.48 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers15 claims15 services$10.59 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims108 services$1.47 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 5

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

Nurse Practitioner (Family)
220 E SPRING VALLEY PIKE
CENTERVILLE, OH 45458
Family Medicine
220 E SPRING VALLEY PIKE
CENTERVILLE, OH 45458
Dermatology
220 E SPRING VALLEY PIKE
CENTERVILLE, OH 45458
Hospitalist
220 E SPRING VALLEY PIKE
CENTERVILLE, OH 45458
Dermatology
220 E SPRING VALLEY PIKE
CENTERVILLE, OH 45458

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 1063479947. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is John Mccarthy located?

John Mccarthy practices at 220 E Spring Valley Pike, Centerville, OH 45458. The listed phone number is (937) 436-3117.

What is John Mccarthy's specialty?

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

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.

What insurance does John Mccarthy accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list John Mccarthy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Mccarthy affiliated with any hospitals?

According to CMS data, John Mccarthy is affiliated with Kettering Health Main Campus and Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for John Mccarthy was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.