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JAMES J MCCARTHY M.D.
NPI 1396764064
Emergency Medicine in Houston, TX

Active since July 19, 2006PECOS Enrolled
82.38/100
CMS Quality Rating
6411 FANNIN ST, HOUSTON, TX 77030(713) 704-4000(713) 704-6851 Get Directions Write a Review

NPPES record last updated: November 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About James J Mccarthy M.d. NPPES

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

JAMES J MCCARTHY M.D. (NPI 1396764064) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (L2455) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396764064
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES J MCCARTHYCredential: M.D.
Location Address6411 FANNIN STHouston, TX 77030-1501
Mailing AddressPo Box 201088Houston, TX 77216-1088 · (713) 500-3500
Phone(713) 704-4000
Fax(713) 704-6851
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateNovember 10, 2008
✔ NPI 1396764064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · L2455
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6411 FANNIN ST, Houston, TX 77030
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Other Identifiers 6

Medicaid144474702TX
Medicare UPINH40907TX
Other8B8761TX · Bcbs
Medicare PIN930107305TX
Medicare PIN8721M3TX
Other144474703TX · Cshcn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James J Mccarthy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

HASHIM ZAIDI M.D.
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7878
DAVID BALTRUSAITIS MD
Radiology (Diagnostic Radiology)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 797-5929
CYNTHIA MARSHA DANIS RN
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4000
MR. MICHAEL KENNETH HOWZE JR.
Anesthesiologist Assistant
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7160
STEPHEN M LARSON D.M.D.
Dentist (General Practice)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6200
STEPHEN G HECHT M.D.
Emergency Medicine
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4060
VLADIMIR MELNIKOV M.D.
Anesthesiology
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6200
MRS. CAROL JEAN UNDERWOOD BSN RN CCRC
Registered Nurse (Critical Care Medicine)
6411 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 704-4230

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 James Mccarthy's NPI number?

The NPI number for James Mccarthy is 1396764064. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is James Mccarthy located?

James Mccarthy practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 704-4000.

What is James Mccarthy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Mccarthy enrolled in Medicare?

Yes. James Mccarthy is registered in the Medicare PECOS enrollment system.

What insurance does James Mccarthy accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list James 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 James Mccarthy was last updated on November 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.