MICHAEL P MCCARTHY MD
NPI 1346277746
Internal Medicine - Pulmonary Disease in Baton Rouge, LA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
7373 PERKINS RD, BATON ROUGE, LA 70808(225) 769-4044 Get Directions Write a Review

NPPES record last updated: February 4, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael P Mccarthy Md NPPES

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

MICHAEL P MCCARTHY MD (NPI 1346277746) is an individual pulmonary disease provider in Baton Rouge, Louisiana, licensed in Louisiana (019453) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1346277746
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL P MCCARTHYCredential: MD
Location Address7373 PERKINS RDBaton Rouge, LA 70808-4326
Mailing Address7373 Perkins RdBaton Rouge, LA 70808-4326 · (225) 769-4044
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 28, 2006
Last NPPES UpdateFebruary 4, 2011
NPI 1346277746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in LA · 019453
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 019453 (LA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 019453 (LA)
7373 PERKINS RD, Baton Rouge, LA 70808

Other Identifiers 1

Medicare UPINE79461LA

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

Michael P 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 ID42308355
PECOS Enrollment IDI20100303000427
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 21

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.
841 services439 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
227 services207 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
214 services199 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
214 services199 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.
154 services126 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
143 services143 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 24

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers14 claims14 services$38.56 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers27 claims54 services$1.16 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers102 claims102 services$67.84 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers86 claims198 services$27.22 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers90 claims437 services$16.65 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers48 claims229 services$14.08 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 20

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

Internal Medicine
7373 PERKINS RD, ATTN: CAMILLE/ADMINISTRATION
BATON ROUGE, LA 70808
Internal Medicine
7373 PERKINS RD, ATTN: DEE / ADMINISTRATION
BATON ROUGE, LA 70808
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7373 PERKINS RD
BATON ROUGE, LA 70808
Pediatrics
7373 PERKINS RD
BATON ROUGE, LA 70808
Internal Medicine (Pulmonary Disease)
7373 PERKINS RD
BATON ROUGE, LA 70808
Internal Medicine (Infectious Disease)
7373 PERKINS RD
BATON ROUGE, LA 70808
Internal Medicine (Rheumatology)
7373 PERKINS RD
BATON ROUGE, LA 70808
Internal Medicine
7373 PERKINS RD
BATON ROUGE, LA 70808

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 Michael Mccarthy's NPI number?

The NPI number for Michael Mccarthy is 1346277746. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Michael Mccarthy located?

Michael Mccarthy practices at 7373 Perkins Rd, Baton Rouge, LA 70808. The listed phone number is (225) 769-4044.

What is Michael Mccarthy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Mccarthy enrolled in Medicare?

Yes. Michael 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 Michael Mccarthy accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Michael 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 Michael Mccarthy affiliated with any hospitals?

According to CMS data, Michael Mccarthy is affiliated with Our Lady Of The Lake Regional Medical Center and Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mccarthy was last updated on February 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.