KYLE MCCARTHY FNP
NPI 1346693504
Nurse Practitioner - Primary Care in Canton, IL

Active since July 22, 2016PECOS EnrolledAccepts Medicare Assignment
77.95/100
CMS Quality Rating
180 S MAIN ST, CANTON, IL 61520(309) 647-0201(309) 649-6880 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Mccarthy Fnp NPPES

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

KYLE MCCARTHY FNP (NPI 1346693504) is an individual primary care provider in Canton, Illinois, licensed in Illinois (209014506) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1346693504
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameKYLE MCCARTHYCredential: FNP
Location Address180 S MAIN STCanton, IL 61520-2608
Mailing Address180 S Main StCanton, IL 61520-2608 · (309) 647-0201 · Fax (309) 647-8613
Fax(309) 649-6880
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 22, 2016
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
NPI 1346693504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in IL · 209014506
180 S MAIN ST, Canton, IL 61520

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

Kyle Mccarthy Fnp 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 ID3375830318
PECOS Enrollment IDI20160920000468
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

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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

Mason District Hospital

Critical Access Hospitals · Havana, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141313
Location615 North Promenade Street,p O Box 530Havana, IL 62644 · Mason County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61520 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

77.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.58
Promoting Interoperability95
Improvement Activities40
Cost64

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims25 services$6.05 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.

Audiologist
180 S MAIN ST
CANTON, IL 61520
Family Medicine
180 S MAIN ST
CANTON, IL 61520
Internal Medicine
180 S MAIN ST
CANTON, IL 61520
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Nurse Practitioner
180 S MAIN ST
CANTON, IL 61520
Nurse Practitioner (Family)
180 S MAIN ST
CANTON, IL 61520
Physician Assistant
180 S MAIN ST
CANTON, IL 61520
Family Medicine
180 S MAIN ST
CANTON, IL 61520

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 Kyle Mccarthy's NPI number?

The NPI number for Kyle Mccarthy is 1346693504. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Where is Kyle Mccarthy located?

Kyle Mccarthy practices at 180 S Main St, Canton, IL 61520. The listed phone number is (309) 647-0201.

What is Kyle Mccarthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kyle Mccarthy enrolled in Medicare?

Yes. Kyle 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.

Is Kyle Mccarthy affiliated with any hospitals?

According to CMS data, Kyle Mccarthy is affiliated with Graham Hospital Association and Mason District Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Mccarthy was last updated on April 7, 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.