JENNIFER M. MCCARTHY MD
NPI 1265476832
Family Medicine in Plymouth Meeting, PA

Q: What is Jennifer Mccarthy's NPI number?

The NPI number for Jennifer Mccarthy is 1265476832. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Q: What is Jennifer Mccarthy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Mccarthy was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment

4070 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462(610) 825-5741(610) 825-1855 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer M. Mccarthy Md NPPES

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

JENNIFER M. MCCARTHY MD (NPI 1265476832) is an individual family medicine provider in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (MD050726L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Virginia Commonwealth University, School Of Medicine (1991).

NPPES Registry Identity

NPI1265476832

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJENNIFER M. MCCARTHYCredential: MD

Location Address4070 BUTLER PIKE, SUITE 200Plymouth Meeting, PA 19462-1556

Mailing AddressPo Box 789967Philadelphia, PA 19178-9967 · (484) 622-7395 · Fax (484) 622-7399

Phone(610) 825-5741

Fax(610) 825-1855

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1991

Enumeration DateJune 15, 2006

Last NPPES UpdateNovember 15, 2018

✔ NPI 1265476832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD050726L

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.

4070 BUTLER PIKE, Plymouth Meeting, PA 19462

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Other Identifiers 14

Medicaid0014680680002PA

Other2124112PA · Alliance/opt Chc (mamsi)

Other0211178000PA · Amerihealth/intercounty

Other1027897PA · Keystone Mercy

Other0211178000PA · Ibc - Pc/khpe

Other36452-MD050726LPA · Health Partners

Other10932098PA · Caqh Id#

Other11047275PA · Multiplan

Other0146806801PA · Americhoice (uhc Ma Plan)

Other0464662PA · Aetna Hmo

Other080128424PA · Rrm

Other1302007PA · Cigna Hmo/ppo

Other476269PA · Highmark Blue Shield

Other4460765PA · Aetna Ppo

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Jennifer M. 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 ID446145932

PECOS Enrollment IDI20101115000636

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 11

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.

788 services369 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.

89 services74 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

62 services60 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

56 services56 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

38 services38 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

30 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390142

Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County

Emergency services Birthing friendly

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390329

Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19462 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 3

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

14 suppliers28 claims58 services$5.77 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

11 suppliers23 claims23 services$0.98 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$23.19 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 4

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

DR. SISSY VARGHESE JOHN M.D.

Family Medicine

4070 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (610) 825-5741

ALAN WISER MD

Family Medicine

4070 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (610) 825-5741

MARK B. FISCHER MD

Family Medicine

4070 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (610) 825-5741

SCOTT A. MELNICK MD

Family Medicine

4070 BUTLER PIKE, SUITE 200
PLYMOUTH MEETING, PA 19462

Montgomery County (610) 825-5741

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 Jennifer Mccarthy's NPI number?

The NPI number for Jennifer Mccarthy is 1265476832. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Jennifer Mccarthy located?

Jennifer Mccarthy practices at 4070 Butler Pike Suite 200, Plymouth Meeting, PA 19462. The listed phone number is (610) 825-5741.

What is Jennifer Mccarthy's specialty?

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

Is Jennifer Mccarthy enrolled in Medicare?

Yes. Jennifer 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 Jennifer Mccarthy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jennifer 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 Jennifer Mccarthy affiliated with any hospitals?

According to CMS data, Jennifer Mccarthy is affiliated with Hospital Of Univ Of Pennsylvania, Albert Einstein Medical Center and Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Jennifer Mccarthy was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.