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JUSTIN HOWARD MCCARTHY M.D.
NPI 1316396047
Family Medicine in Broomfield, CO

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
500 ELDORADO BLVD, STE 6300, BROOMFIELD, CO 80021(303) 272-0750(303) 272-0390 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2020, Mar 20, 2020, Aug 6, 2019 and 2 more (5 updates tracked since 2019).

About Justin Howard Mccarthy M.d. NPPES

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

JUSTIN HOWARD MCCARTHY M.D. (NPI 1316396047) is an individual family medicine provider in Broomfield, Colorado, licensed in Colorado (DR0059568) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2016).

NPPES Registry Identity

NPI1316396047
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN HOWARD MCCARTHYCredential: M.D.
Location Address500 ELDORADO BLVD, STE 6300Broomfield, CO 80021-3408
Mailing Address500 Eldorado Blvd, Ste 6300Broomfield, CO 80021-3408 · (303) 272-0750 · Fax (303) 272-0390
Phone(303) 272-0750
Fax(303) 272-0390
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2016
Enumeration DateJune 3, 2016
Last NPPES UpdateApril 3, 20205 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1316396047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · DR0059568
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.
500 ELDORADO BLVD, Broomfield, CO 80021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Justin Howard Mccarthy M.d. 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 ID4284927021
PECOS Enrollment IDI20200406002458
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.

Medicare Billing Reassignment

Medicare enrollment records show Justin Mccarthy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Mary's Hospital And Medical Center, Inc
190 mi
Primary Care
562 29 RD
Grand Junction, CO 81504
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: St Marys Hospital And Medical Center Inc
  • 117 clinicians in this Medicare group
NPI 1447920228 (970) 985-7467

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 6

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.
31 services25 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.
29 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services25 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.
18 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
15 services14 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80021 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 2

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

Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$3.95 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with flange (2 piece), each A5054
DME-Orthotic Devices · category DF010N
1 supplier12 claims360 services$1.49 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 5

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

DR. DOUGLAS HOWARD MALCOLM PHARMD
Pharmacist
500 ELDORADO BLVD
BROOMFIELD, CO 80021
Jefferson County (303) 813-5532
NADYA WAZIRI L.AC
Acupuncturist
500 ELDORADO BLVD
BROOMFIELD, CO 80021
Jefferson County (303) 817-9727
KATHY OKAMATSU N.P.
Nurse Practitioner
500 ELDORADO BLVD, SUITE 6250
BROOMFIELD, CO 80021
Jefferson County (303) 272-0750
SAINT JOSEPH HOSPITAL, INC
Internal Medicine
500 ELDORADO BLVD, BLDG 6 STE 6250
BROOMFIELD, CO 80021
Jefferson County (855) 851-4127
INTERMOUNTAIN MEDICAL GROUP DENVER, LLC
Clinic/Center
500 ELDORADO BLVD, BLDG 6, STE 6250
BROOMFIELD, CO 80021
Jefferson County (303) 272-0811

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 Justin Mccarthy's NPI number?

The NPI number for Justin Mccarthy is 1316396047. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Justin Mccarthy located?

Justin Mccarthy practices at 500 Eldorado Blvd Ste 6300, Broomfield, CO 80021. The listed phone number is (303) 272-0750.

What is Justin Mccarthy's specialty?

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

Is Justin Mccarthy enrolled in Medicare?

Yes. Justin 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.

Which organization bills Medicare for Justin Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Mccarthy reassigns Medicare benefits to St Mary's Hospital And Medical Center, Inc (Grand Junction, CO). The 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 Justin Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Mccarthy accept?

Health plans from Select Health list Justin 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 Justin Mccarthy was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.