EDWARD FRANCIS MCCARTHY JR. MD
NPI 1275681132
Ophthalmology in Wakefield, MA
About Edward Francis Mccarthy Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD FRANCIS MCCARTHY JR. MD (NPI 1275681132) is an individual ophthalmology provider in Wakefield, Massachusetts, licensed in California (GFE46848) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edward Francis Mccarthy Jr. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edward Mccarthy Jr. reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wakefield, MA 01880
- Reassigned Medicare billing, Massachusetts enrollment
- 14 clinicians in this Medicare group
Wakefield, MA 01880
- Reassigned Medicare billing, Massachusetts enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01880 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edward Mccarthy Jr.'s NPI number?
The NPI number for Edward Mccarthy Jr. is 1275681132. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Edward Mccarthy Jr. located?
Edward Mccarthy Jr. practices at 669 Main St, Wakefield, MA 01880. The listed phone number is (781) 245-5200.
What is Edward Mccarthy Jr.'s specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Edward Mccarthy Jr. enrolled in Medicare?
Yes. Edward Mccarthy Jr. 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.
Which organizations bill Medicare for Edward Mccarthy Jr.'s services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Mccarthy Jr. reassigns Medicare benefits to 2 organizations: North Suburban Eye Associates LLC (Wakefield, MA) and North Suburban Eye Associates PC (Wakefield, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Mccarthy Jr.'s services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Mccarthy Jr. accept?
Health plans from Providence Health Plan list Edward Mccarthy Jr. 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 Edward Mccarthy Jr. was last updated on March 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Edward Francis Mccarthy Jr., MD · NPI 1275681132
Ophthalmology physician in Wakefield, Massachusetts. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1275681132 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** GFE46848 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 669 MAIN ST, Wakefield, MA 01880-5221
- **Phone:** (781) 245-5200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Suburban Eye Associates LLC (NPI 1942737226, Wakefield, MA); North Suburban Eye Associates PC (NPI 1942351994, Wakefield, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 1978
## Record status
- **NPPES last updated:** March 23, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1275681132) · Data from the CMS NPPES public registry.