MELANIE L MCCARTY MD
NPI 1578649935
Ophthalmology in Tucson, AZ

Q: What is Melanie Mccarty's NPI number?

The NPI number for Melanie Mccarty is 1578649935. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Q: What is Melanie Mccarty's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Melanie Mccarty was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 28, 2006PECOS EnrolledAccepts Medicare Assignment

76.75/100

CMS Quality Rating

5240 E KNIGHT DR, STE 104, TUCSON, AZ 85712(520) 795-4202(520) 326-5317 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Melanie L Mccarty Md NPPES

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

MELANIE L MCCARTY MD (NPI 1578649935) is an individual ophthalmology provider in Tucson, Arizona, licensed in Arizona (34187) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2000).

NPPES Registry Identity

NPI1578649935

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameMELANIE L MCCARTYCredential: MD

Location Address5240 E KNIGHT DR, STE 104Tucson, AZ 85712-2122

Mailing Address5240 E Knight Dr, Ste 104Tucson, AZ 85712-2122 · (520) 795-4202 · Fax (520) 326-5317

Phone(520) 795-4202

Fax(520) 326-5317

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2000

Enumeration DateOctober 28, 2006

Last NPPES UpdateNovember 8, 2013

✔ NPI 1578649935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in AZ · 34187

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

5240 E KNIGHT DR, Tucson, AZ 85712

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Other Identifiers 3

Medicare UPINI33950

Medicaid953506AZ

Medicare PINZ104037AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 and accepts Medicare assignment

Melanie L Mccarty 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 ID6002843935

PECOS Enrollment IDI20050722000388

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 14

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

1,863 services15 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

296 services246 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

199 services184 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

121 services75 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

110 services110 patients

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.

105 services75 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

94 services55 patients

Injection of chemical for paralysis of nerve muscles on side of face 64612

This procedure involves injecting a chemical into specific facial nerves, causing temporary muscle paralysis. It's used to treat conditions like facial spasms or wrinkles. The effects are usually temporary, requiring repeat treatments.

60 services17 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

53 services53 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

48 services35 patients

Exam of visual field with intermediate testing 92082

An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.

47 services47 patients

Removal of growth of eyelid 67840

The removal of an eyelid growth is a procedure performed to eliminate abnormal tissue from your eyelid. It's generally a quick, outpatient treatment. The doctor numbs your eyelid, carefully removes the growth, and may stitch the area if necessary. This can help maintain eye health and vision.

45 services44 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

42 services41 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

76.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

22.5

Reported Quality Measures

Complications After Cataract Surgery

Lower rates are better for this measure.

0%87 patients

Diabetes: Eye Exam

100%52 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%1,034 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 977 patients

Patients screened: 100% · 977 patients

98%44 patients4/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%35 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,061 patients

Patients totalRate: 0% · 1,061 patients

0%1,061 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SOUTHERN ARIZONA INFECTIOUS DISEASE SPECIALISTS PLC

Internal Medicine (Infectious Disease)

5240 E KNIGHT DR, SUITE 114
TUCSON, AZ 85712

Pima County (520) 318-9681

DR. ARCHANA VENUMBAKA REDDY M.D.

Ophthalmology

5240 E KNIGHT DR, STE 104
TUCSON, AZ 85712

Pima County (520) 888-6600

ROBERT NORMAN HYLAND M.D.

Internal Medicine (Infectious Disease)

5240 E KNIGHT DR, SUITE #114
TUCSON, AZ 85712

Pima County (520) 318-9681

BARTON LYLE HODES MD

Ophthalmology

5240 E KNIGHT DR, STE 104
TUCSON, AZ 85712

Pima County (520) 795-4202

EYE ASSOCIATES LTD

Ophthalmology

5240 E KNIGHT DR, STE 104
TUCSON, AZ 85712

Pima County (520) 795-4202

DR. WILLIAM RICHARDSON M.D.

Obstetrics & Gynecology (Gynecology)

5240 E KNIGHT DR, SUITE 112
TUCSON, AZ 85712

Pima County (520) 323-9682

DR. JOLYON DAVID SCHILLING M.D.

Surgery (Vascular Surgery)

5240 E KNIGHT DR, SUITE 116
TUCSON, AZ 85712

Pima County (520) 320-5665

DR. GUY ALAN PETERSEN M.D.

General Practice

5240 E KNIGHT DR, SUITE 100
TUCSON, AZ 85712

Pima County (520) 582-9399

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 Melanie Mccarty's NPI number?

The NPI number for Melanie Mccarty is 1578649935. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Melanie Mccarty located?

Melanie Mccarty practices at 5240 E Knight Dr Ste 104, Tucson, AZ 85712. The listed phone number is (520) 795-4202.

What is Melanie Mccarty's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Melanie Mccarty enrolled in Medicare?

Yes. Melanie Mccarty 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 Melanie Mccarty accept?

Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Melanie Mccarty 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 Melanie Mccarty was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.