CANDACE MCCARTHY
NPI 1245819861
Nurse Practitioner - Family in Houston, TX

Active since April 02, 2021Opted out of Medicare · through Sep 12, 2027
1200 BINZ ST STE 650, HOUSTON, TX 77004(713) 497-5727 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 27, 2022, Apr 2, 2021 (2 updates tracked since 2021).

About Candace Mccarthy NPPES

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

CANDACE MCCARTHY (NPI 1245819861) is an individual family provider in Houston, Texas, licensed in Texas (1073117) and active in the NPI registry since April 2021. She has opted out of Medicare through September 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245819861
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDACE MCCARTHY
Location Address1200 BINZ ST STE 650Houston, TX 77004-6927
Mailing Address1200 Binz St Ste 650Houston, TX 77004-6927 · (713) 497-5727
Sole ProprietorNo
Enumeration DateApril 2, 2021
Last NPPES UpdateSeptember 27, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
NPI 1245819861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1073117
1200 BINZ ST STE 650, Houston, TX 77004

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Candace Mccarthy has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 12, 2025 through September 12, 2027.

Opt-Out Effective DateSeptember 12, 2025
Opt-Out In Effect ThroughSeptember 12, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77004 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology
1200 BINZ ST STE 650
HOUSTON, TX 77004
Obstetrics & Gynecology
1200 BINZ ST STE 650
HOUSTON, TX 77004
Registered Nurse (Women's Health Care, Ambulatory)
1200 BINZ ST STE 650
HOUSTON, TX 77004
Registered Nurse (Women's Health Care, Ambulatory)
1200 BINZ ST STE 650
HOUSTON, TX 77004

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 Candace Mccarthy's NPI number?

The NPI number for Candace Mccarthy is 1245819861. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Candace Mccarthy located?

Candace Mccarthy practices at 1200 Binz St Ste 650, Houston, TX 77004. The listed phone number is (713) 497-5727.

What is Candace Mccarthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Candace Mccarthy enrolled in Medicare?

No. Candace Mccarthy has opted out of Medicare through September 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Candace Mccarthy was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.