FENTON MCCARTHY MD
NPI 1114245032
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Albuquerque, NM

Active since May 17, 2010PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
502 ELM ST NE, ALBUQUERQUE, NM 87102(505) 841-1000(505) 843-2956 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2024, Jul 16, 2024, Jul 13, 2023 and 3 more (6 updates tracked since 2018).

About Fenton Mccarthy Md NPPES

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

FENTON MCCARTHY MD (NPI 1114245032) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Albuquerque, New Mexico, licensed in New Mexico (MD2018-0635) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114245032
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameFENTON MCCARTHYCredential: MD
Location Address502 ELM ST NEAlbuquerque, NM 87102
Mailing Address502 Elm St NeAlbuquerque, NM 87102-2512 · (505) 841-1000 · Fax (505) 843-2956
Fax(505) 843-2956
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2010
Enumeration DateMay 17, 2010
Last NPPES UpdateAugust 16, 20246 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
NPI 1114245032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in NM · MD2018-0635
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License MT197425 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT197425 (PA)
502 ELM ST NE, Albuquerque, NM 87102

Secondary Practice Locations 2

Location 13400 Spruce StPhiladelphia, PA 19104-4206 · Phone (215) 662-6156
Location 22211 Lomas Blvd NEAlbuquerque, NM 87106-2719 · Phone (505) 272-9831

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

Fenton 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 ID6002113487
PECOS Enrollment IDI20240708003765
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 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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
40 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 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.
18 services18 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
13 services13 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
12 services12 patients
Coronary artery bypass using vein or artery graft, 2 grafts 33518
A coronary artery bypass with 2 grafts is a surgery to improve blood flow to your heart. A surgeon takes a healthy vein or artery from your body and attaches it to the blocked coronary artery. This creates a new path for blood to flow, bypassing the blockage.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87102 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Thoracic Surgery (Cardiothoracic Vascular Surgery)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Internal Medicine (Cardiovascular Disease)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Internal Medicine (Cardiovascular Disease)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner
502 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner (Family)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner (Family)
502 ELM ST NE
ALBUQUERQUE, NM 87102
Nurse Practitioner
502 ELM ST NE
ALBUQUERQUE, NM 87102

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 Fenton Mccarthy's NPI number?

The NPI number for Fenton Mccarthy is 1114245032. It was assigned to this individual provider in the NPPES registry on May 17, 2010.

Where is Fenton Mccarthy located?

Fenton Mccarthy practices at 502 Elm St NE, Albuquerque, NM 87102. The listed phone number is (505) 841-1000.

What is Fenton Mccarthy's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Fenton Mccarthy enrolled in Medicare?

Yes. Fenton 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 Fenton Mccarthy accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Fenton 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 Fenton Mccarthy affiliated with any hospitals?

According to CMS data, Fenton Mccarthy is affiliated with Lovelace Medical Center and Prov Sacred Hrt Med Ctr & Childs Hosp..

When was this NPI record last updated?

The NPPES record for Fenton Mccarthy was last updated on August 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.