DR. KEVIN P MCCARTHY MD
NPI 1407843501
Orthopaedic Surgery in Baton Rouge, LA

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
54.43/100
CMS Quality Rating
9001 SUMMA AVE STE 346, BATON ROUGE, LA 70809(225) 515-5700 Get Directions Write a Review

NPPES record last updated: March 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin P Mccarthy Md NPPES

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

DR. KEVIN P MCCARTHY MD (NPI 1407843501) is an individual orthopaedic surgery provider in Baton Rouge, Louisiana, licensed in Louisiana (25502) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Wayne State University School Of Medicine (1999).

NPPES Registry Identity

NPI1407843501
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KEVIN P MCCARTHYCredential: MD
Location Address9001 SUMMA AVE STE 346Baton Rouge, LA 70809-3779
Mailing Address9001 Summa Ave Ste 346Baton Rouge, LA 70809-3779 · (225) 515-5700
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1999
Enumeration DateOctober 4, 2005
Last NPPES UpdateMarch 20, 2026
NPPES CertifiedMarch 20, 2026
NPI 1407843501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in LA · 25502
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 25502 (LA)
9001 SUMMA AVE STE 346, Baton Rouge, LA 70809

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

Dr. Kevin 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 ID4486608197
PECOS Enrollment IDI20050305000071
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 22

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, 20-29 minutes 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.
313 services170 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
150 services118 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
131 services75 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
106 services77 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
62 services37 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
46 services41 patients

Hospital Affiliations CMS Care Compare 5

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

The Spine Hospital Of Louisiana

Acute Care Hospitals · Baton Rouge, LA
OwnershipPhysician
CMS Certification Number190266
Location10105 Park Row Circle, Suite 250Baton Rouge, LA 70810 · E. Baton Rouge County

Cypress Pointe Surgical Hospital

Acute Care Hospitals · Hammond, LA
OwnershipPhysician
CMS Certification Number190303
Location42570 South Airport RdHammond, LA 70403 · Tangipahoa County

Merit Health Natchez

Acute Care Hospitals · Natchez, MS
2/5 CMS rating
OwnershipProprietary
CMS Certification Number250084
Location52 Sergeant Prentiss DriveNatchez, MS 39120 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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.

54.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.72
Promoting Interoperability85
Improvement Activities20
Cost45.88

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.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier17 claims17 services$3,543.69 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 9

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

Nurse Anesthetist, Certified Registered
9001 SUMMA AVE STE 346
BATON ROUGE, LA 70809
Orthopaedic Surgery
9001 SUMMA AVE STE 346
BATON ROUGE, LA 70809
Physician Assistant
9001 SUMMA AVE STE 346
BATON ROUGE, LA 70809
Physician Assistant
9001 SUMMA AVE STE 346
BATON ROUGE, LA 70809
Specialist/Technologist, Other (Electroneurodiagnostic)
9001 SUMMA AVE STE 346
BATON ROUGE, LA 70809
Specialist/Technologist, Other (Electroneurodiagnostic)
9001 SUMMA AVE STE 346
BATON ROUGE, LA 70809
Physician Assistant
9001 SUMMA AVE STE 346
BATON ROUGE, LA 70809
Orthopaedic Surgery
9001 SUMMA AVE STE 346
BATON ROUGE, LA 70809

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 Kevin Mccarthy's NPI number?

The NPI number for Kevin Mccarthy is 1407843501. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Kevin Mccarthy located?

Kevin Mccarthy practices at 9001 Summa Ave Ste 346, Baton Rouge, LA 70809. The listed phone number is (225) 515-5700.

What is Kevin Mccarthy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kevin Mccarthy enrolled in Medicare?

Yes. Kevin 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 Kevin 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 Kevin 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 Kevin Mccarthy affiliated with any hospitals?

According to CMS data, Kevin Mccarthy is affiliated with Our Lady Of The Lake Regional Medical Center, Baton Rouge General Medical Center, The Spine Hospital Of Louisiana, Cypress Pointe Surgical Hospital and Merit Health Natchez.

When was this NPI record last updated?

The NPPES record for Kevin Mccarthy was last updated on March 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.