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DONNA MCCARTHY REGISTERED NURSE
NPI 1407311368
Nurse Practitioner - Family in Plains, PA

Active since February 05, 2019PECOS Enrolled
627 SOUTH RIVER STREET, SUITE 105, PLAINS, PA 18705(570) 212-9116(570) 212-9917 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2026, Jan 21, 2026, Feb 5, 2019 (3 updates tracked since 2019).

About Donna Mccarthy Registered Nurse NPPES

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

DONNA MCCARTHY REGISTERED NURSE (NPI 1407311368) is an individual family provider in Plains, Pennsylvania, licensed in Pennsylvania (SP034713) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1407311368
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDONNA MCCARTHYCredential: REGISTERED NURSE
Location Address627 SOUTH RIVER STREET, SUITE 105Plains, PA 18705
Mailing Address627 South River Street, Suite 105Plains, PA 18705 · (570) 212-9116 · Fax (570) 212-9917
Phone(570) 212-9116
Fax(570) 212-9917
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 5, 2019
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1407311368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP034713
627 SOUTH RIVER STREET, Plains, PA 18705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donna Mccarthy Registered Nurse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103303656
PECOS Enrollment IDI20260127001679
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 Donna Mccarthy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Contemporary Women's Health Of Montgomery PLLC
50 mi
Gynecology
45 N 6TH ST APT 598
Allentown, PA 18101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
NPI 1497430706 (347) 636-6489

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18705 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Donna Mccarthy's NPI number?

The NPI number for Donna Mccarthy is 1407311368. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Donna Mccarthy located?

Donna Mccarthy practices at 627 South River Street Suite 105, Plains, PA 18705. The listed phone number is (570) 212-9116.

What is Donna Mccarthy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Donna Mccarthy enrolled in Medicare?

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

Which organization bills Medicare for Donna Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Mccarthy reassigns Medicare benefits to Contemporary Women's Health Of Montgomery PLLC (Allentown, PA). 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 Donna Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Mccarthy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Donna 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 Donna Mccarthy was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.