DR. CLARE L MCCARTHY MD
NPI 1144225590
Emergency Medicine in Memphis, TN

Active since June 14, 2005PECOS Enrolled
75.06/100
CMS Quality Rating
877 JEFFERSON AVE, MEMPHIS, TN 38103(901) 545-7100 Get Directions Write a Review

NPPES record last updated: August 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Clare L Mccarthy Md NPPES

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

DR. CLARE L MCCARTHY MD (NPI 1144225590) is an individual emergency medicine provider in Memphis, Tennessee, licensed in Tennessee (53208) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144225590
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. CLARE L MCCARTHYCredential: MD
Location Address877 JEFFERSON AVEMemphis, TN 38103-2807
Mailing Address877 Jefferson Ave, Attn: Provider EnrollmentMemphis, TN 38103-2807 · (901) 545-7302
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateAugust 27, 2015
✔ NPI 1144225590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TN · 53208✔ Licensed in KY · 34482
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
877 JEFFERSON AVE, Memphis, TN 38103

Other Identifiers 6

Other000000275811KY · Bcbs Of Ky Group Number
Other000000060164KY · Bcbs Of Ky Group #
Medicaid64344823KY
Other1146096KY · Passport Group # 1172544
Other50000552KY · Passport Group #50000548
Medicare UPING64096KY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clare L Mccarthy Md 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Clare Mccarthy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
877 JEFFERSON AVE
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 421 clinicians in this Medicare group
Emergency Medicine
400 E TICKLE ST
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 256 clinicians in this Medicare group
191 mi
Emergency Medicine
5410 MARYLAND WAY STE 300
Brentwood, TN 37027
  • Reassigned Medicare billing, Tennessee enrollment
  • 208 clinicians in this Medicare group
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Kentucky enrollment
  • 828 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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
95 services91 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

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.

Pediatrics (Neonatal-Perinatal Medicine)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Skilled Nursing Facility
877 JEFFERSON AVE, 3RD FLOOR, ADAMS PAVILION
MEMPHIS, TN 38103
Pediatrics (Neonatal-Perinatal Medicine)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Practitioner (Family)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Dietitian, Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103

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 Clare Mccarthy's NPI number?

The NPI number for Clare Mccarthy is 1144225590. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Clare Mccarthy located?

Clare Mccarthy practices at 877 Jefferson Ave, Memphis, TN 38103. The listed phone number is (901) 545-7100.

What is Clare Mccarthy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Clare Mccarthy enrolled in Medicare?

Yes. Clare Mccarthy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Clare Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clare Mccarthy reassigns Medicare benefits to 4 organizations: Ut Regional One Physicians Inc (Memphis, TN), T M Carr MD PC (Dyersburg, TN), Carr PLLC (Brentwood, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). 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 Clare Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clare Mccarthy accept?

Health plans from Oscar Insurance Company list Clare 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.

When was this NPI record last updated?

The NPPES record for Clare Mccarthy was last updated on August 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.