THERESA MARIE MCCARTHY D.O.
NPI 1295883791
Physical Medicine & Rehabilitation in Oak Forest, IL

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
15900 SOUTH CICERO AVE, OAK FOREST, IL 60452(708) 633-3091(708) 633-2006 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2021, Aug 13, 2020 (2 updates tracked since 2020).

About Theresa Marie Mccarthy D.o. NPPES

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

THERESA MARIE MCCARTHY D.O. (NPI 1295883791) is an individual physical medicine & rehabilitation provider in Oak Forest, Illinois, licensed in Illinois (036-088685) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1991).

NPPES Registry Identity

NPI1295883791
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameTHERESA MARIE MCCARTHYCredential: D.O.
Location Address15900 SOUTH CICERO AVEOak Forest, IL 60452
Mailing Address15900 South Cicero AveOak Forest, IL 60452 · (708) 633-3091 · Fax (708) 633-2006
Fax(708) 633-2006
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1991
Enumeration DateJanuary 8, 2007
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
NPI 1295883791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in IL · 036-088685
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedElectrodiagnostic MedicineTaxonomy 204R00000X · License 036-088685 (IL)
Also ListedPhysical Medicine & Rehabilitation · Spinal Cord Injury MedicineTaxonomy 2081P0004X · License 036-088685 (IL)
15900 SOUTH CICERO AVE, Oak Forest, IL 60452

Other Identifiers 1

Medicaid036-088685IL

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

Theresa Marie Mccarthy D.o. 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 ID5092999821
PECOS Enrollment IDI20110401000838
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.

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.
52 services35 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
33 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Prosthetic sock, multiple ply, below knee, each L8420
DME-Orthotic Devices · category DF003N
6 suppliers11 claims69 services$17.44 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 10

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

Internal Medicine
15900 SOUTH CICERO AVE
OAK FOREST, IL 60452
Internal Medicine (Infectious Disease)
15900 SOUTH CICERO AVE, OAK FOREST HOSPTIAL
OAK FOREST, IL 60452
Podiatrist (Foot & Ankle Surgery)
15900 SOUTH CICERO AVE, OAK FOREST HOSPITAL DEPARTMENT OF SURGERY
OAK FOREST, IL 60452
Physical Therapy Assistant
15900 SOUTH CICERO AVE, OAK FOREST HOSPITAL OF COOK COUN
OAK FOREST, IL 60452
Internal Medicine
15900 SOUTH CICERO AVE
OAK FOREST, IL 60452
Internal Medicine
15900 SOUTH CICERO AVE
OAK FOREST, IL 60452
Physical Therapist (Neurology)
15900 SOUTH CICERO AVE, OAK FOREST HOSPITAL OF COOK COUNTY
OAK FOREST, IL 60452
Physical Therapist (Neurology)
15900 SOUTH CICERO AVE, OAK FOREST HOSPITAL OF COOK COUNTY
OAK FOREST, IL 60452

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 Theresa Mccarthy's NPI number?

The NPI number for Theresa Mccarthy is 1295883791. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Theresa Mccarthy located?

Theresa Mccarthy practices at 15900 South Cicero Ave, Oak Forest, IL 60452. The listed phone number is (708) 633-3091.

What is Theresa Mccarthy's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Theresa Mccarthy enrolled in Medicare?

Yes. Theresa 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 Theresa Mccarthy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Theresa 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 Theresa Mccarthy affiliated with any hospitals?

According to CMS data, Theresa Mccarthy is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Mccarthy was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.