PAUL JOSEPH MCCARTHY MD
NPI 1275576134
Internal Medicine - Critical Care Medicine in Baltimore, MD

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
22 S GREENE ST, BALTIMORE, MD 21201(252) 744-1600(252) 744-1115 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2022, Jan 9, 2021, Oct 22, 2020 and 2 more (5 updates tracked since 2018).

About Paul Joseph Mccarthy Md NPPES

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

PAUL JOSEPH MCCARTHY MD (NPI 1275576134) is an individual critical care medicine provider in Baltimore, Maryland, licensed in West Virginia (28023) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1275576134
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NamePAUL JOSEPH MCCARTHYCredential: MD
Location Address22 S GREENE STBaltimore, MD 21201
Mailing Address1 Medical Center DrMorgantown, WV 26506-1200 · (877) 988-4478
Fax(252) 744-1115
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 8, 20225 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
NPI 1275576134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in WV · 28023 Licensed in LA · 15793R Licensed in LA · MD.15793R Licensed in OH · 84943 Licensed in MD · D76509 Licensed in AZ · 34241 Licensed in NC · 2012-00240
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
22 S GREENE ST, Baltimore, MD 21201

Secondary Practice Location 1

Location 122 S Greene StBaltimore, MD 21201-1544 · Phone (252) 744-1600 · Fax (252) 744-1115

Other Identifiers 5

Other1689YNC · Bcbsnc
Medicaid1078450LA
Medicaid2522523OH
Medicaid08753203MS
Medicaid5919535NC

Accepted 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

Paul Joseph 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 ID3577528173
PECOS Enrollment IDI20180409000166
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
105 services68 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
65 services54 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services15 patients

Hospital Affiliations CMS Care Compare 2

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, MEDICINE, N3E09
BALTIMORE, MD 21201
Physician Assistant (Medical)
22 S GREENE ST, G2K36
BALTIMORE, MD 21201
Pediatrics (Adolescent Medicine)
22 S GREENE ST
BALTIMORE, MD 21201
Nurse Practitioner (Acute Care)
22 S GREENE ST, SUITE S4D07
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
22 S GREENE ST, N3E09
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST
BALTIMORE, MD 21201
Internal Medicine
22 S GREENE ST, N3E09
BALTIMORE, MD 21201

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 Paul Mccarthy's NPI number?

The NPI number for Paul Mccarthy is 1275576134. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Paul Mccarthy located?

Paul Mccarthy practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (252) 744-1600.

What is Paul Mccarthy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Paul Mccarthy enrolled in Medicare?

Yes. Paul 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 Paul Mccarthy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and HMO Louisiana list Paul 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 Paul Mccarthy affiliated with any hospitals?

According to CMS data, Paul Mccarthy is affiliated with West Virginia University Hospitals, Inc and United Hospital Center, Inc.

When was this NPI record last updated?

The NPPES record for Paul Mccarthy was last updated on April 8, 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.