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JAMES A MCCARTHY MD
NPI 1245337963
Psychiatry & Neurology - Neurology in Hyannis, MA

Active since September 17, 2006PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
40 QUINLAN WAY, SUITE 206, HYANNIS, MA 02601(508) 862-7400(508) 790-8879 Get Directions Write a Review

NPPES record last updated: January 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James A Mccarthy Md NPPES

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

JAMES A MCCARTHY MD (NPI 1245337963) is an individual neurology provider in Hyannis, Massachusetts, licensed in Massachusetts (37905) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of University Of Vermont College Of Medicine (1969).

NPPES Registry Identity

NPI1245337963
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJAMES A MCCARTHYCredential: MD
Location Address40 QUINLAN WAY, SUITE 206Hyannis, MA 02601-5232
Mailing Address25 Communication WayHyannis, MA 02601-8137 · (508) 862-7875 · Fax (508) 862-7997
Phone(508) 862-7400
Fax(508) 790-8879
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1969
Enumeration DateSeptember 17, 2006
Last NPPES UpdateJanuary 8, 2013
✔ NPI 1245337963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MA · 37905
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
40 QUINLAN WAY, Hyannis, MA 02601
Open in Google Maps ↗

Other Identifiers 4

OtherL15095MA · Blue Shield
Medicare UPINE02119MA
Medicare ID-Type UnspecifiedL15095MA · Medicare
Medicaid2030012MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

James A 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 ID7618901166
PECOS Enrollment IDI20050923000214
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 8

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.
710 services483 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.
84 services79 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
64 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
26 services24 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02601 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.06
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

MS. DEBORAH ANN CHAPIN ANP-BC
Nurse Practitioner (Adult Health)
40 QUINLAN WAY, SUITE 206
HYANNIS, MA 02601
Barnstable County (508) 862-7400
CATHERINE M THOMPSON NP
Nurse Practitioner (Women's Health)
40 QUINLAN WAY
HYANNIS, MA 02601
Barnstable County (774) 552-6050
DREW A BRODSKY M.D.
Anesthesiology
40 QUINLAN WAY, SUITE 10
HYANNIS, MA 02601
Barnstable County (508) 775-5011
INMED DIAGNOSTIC SERVICES OF MA, LLC
Clinic/Center (Radiology)
40 QUINLAN WAY
HYANNIS, MA 02601
Barnstable County (508) 771-4708
MICHAEL W. FEUER MD
Internal Medicine (Gastroenterology)
40 QUINLAN WAY, SUITE 206
HYANNIS, MA 02601
Barnstable County (508) 778-8835
MS. LISA RENEE FERLEY MD
Psychiatry & Neurology (Neurology)
40 QUINLAN WAY, 2ND FL, SUITE 206
HYANNIS, MA 02601
Barnstable County (508) 778-8835
DR. CATALINA NORMAN MD, PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 QUINLAN WAY
HYANNIS, MA 02601
Barnstable County (508) 862-7400
WILLIAM O AGEL MD
Obstetrics & Gynecology
40 QUINLAN WAY
HYANNIS, MA 02601
Barnstable County (774) 552-6050

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 James Mccarthy's NPI number?

The NPI number for James Mccarthy is 1245337963. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is James Mccarthy located?

James Mccarthy practices at 40 Quinlan Way Suite 206, Hyannis, MA 02601. The listed phone number is (508) 862-7400.

What is James Mccarthy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Mccarthy enrolled in Medicare?

Yes. James 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 James Mccarthy accept?

Health plans from Anthem Blue Cross and Blue Shield list James 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 James Mccarthy affiliated with any hospitals?

According to CMS data, James Mccarthy is affiliated with Cape Cod Hospital.

When was this NPI record last updated?

The NPPES record for James Mccarthy was last updated on January 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.