DR. JOHN PATRICK MCCARTHY DDS
NPI 1265952089
Dentist - General Practice in Ballwin, MO

Active since June 22, 2017Opted out of Medicare · through Apr 23, 2027
14738 MANCHESTER RD, BALLWIN, MO 63011(636) 227-2552 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 18, 2019, Jun 29, 2018 and 1 more (4 updates tracked since 2017).

About Dr. John Patrick Mccarthy Dds NPPES

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

DR. JOHN PATRICK MCCARTHY DDS (NPI 1265952089) is an individual general practice provider in Ballwin, Missouri, licensed in Missouri (2018012854) and active in the NPI registry since June 2017. He has opted out of Medicare through April 23, 2027 and remains eligible to order and refer and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265952089
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN PATRICK MCCARTHYCredential: DDS
Location Address14738 MANCHESTER RDBallwin, MO 63011
Mailing Address7201 Northmoor DrSaint Louis, MO 63105-2109 · (314) 805-1402
Sole ProprietorNo
Enumeration DateJune 22, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1265952089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MO · 2018012854 Licensed in OK · 6970
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14738 MANCHESTER RD, Ballwin, MO 63011

Secondary Practice Locations 3

Location 11201 N Stonewall AveOklahoma City, OK 73117-1214 · Phone (405) 271-5222 · Fax (405) 271-7538
Location 29016 Phoenix PkwyO Fallon, MO 63368-4278 · Phone (636) 561-5445
Location 38005 Big Bend BlvdWebster Groves, MO 63119-2705 · Phone (314) 968-8005

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. John Patrick Mccarthy Dds 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 April 23, 2019 through April 23, 2027.

Opt-Out Effective DateApril 23, 2019
Opt-Out In Effect ThroughApril 23, 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 63011 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
14738 MANCHESTER RD, SUITE B
BALLWIN, MO 63011
Dentist
14738 MANCHESTER RD, SUITE B
BALLWIN, MO 63011

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 John Mccarthy's NPI number?

The NPI number for John Mccarthy is 1265952089. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is John Mccarthy located?

John Mccarthy practices at 14738 Manchester Rd, Ballwin, MO 63011. The listed phone number is (636) 227-2552.

What is John Mccarthy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Mccarthy enrolled in Medicare?

No. John Mccarthy has opted out of Medicare through April 23, 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.

What insurance does John Mccarthy accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list John 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 John Mccarthy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.