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MELISSA LYNN MCCARTHY
NPI 1497317473
Nurse Practitioner - Family in Rochester, NY

Active since July 01, 2019PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
35 AUSTIN DR, ROCHESTER, NY 14625(585) 705-5701 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2023, Jul 1, 2019 (2 updates tracked since 2019).

About Melissa Lynn Mccarthy NPPES

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

MELISSA LYNN MCCARTHY (NPI 1497317473) is an individual family provider in Rochester, New York, licensed in New York (343959) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1497317473
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA LYNN MCCARTHY
Location Address35 AUSTIN DRRochester, NY 14625-2122
Mailing Address1815 S Clinton Ave Ste 440Rochester, NY 14618-5719 · (585) 705-5701
Phone(585) 705-5701
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 1, 2019
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedOctober 8, 2023
✔ NPI 1497317473 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 NY · 343959
35 AUSTIN DR, Rochester, NY 14625
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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

Melissa Lynn Mccarthy 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 ID8628407947
PECOS Enrollment IDI20200407001408
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14625 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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 Melissa Mccarthy's NPI number?

The NPI number for Melissa Mccarthy is 1497317473. It was assigned to this individual provider in the NPPES registry on July 1, 2019.

Where is Melissa Mccarthy located?

Melissa Mccarthy practices at 35 Austin Dr, Rochester, NY 14625. The listed phone number is (585) 705-5701.

What is Melissa Mccarthy's specialty?

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

Is Melissa Mccarthy enrolled in Medicare?

Yes. Melissa 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 Melissa Mccarthy affiliated with any hospitals?

According to CMS data, Melissa Mccarthy is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Mccarthy was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.