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MAURA PATRICIA MCCARTHY DO
NPI 1659801942
Family Medicine in Springfield, PA

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
1260 E WOODLAND AVE STE 200, SPRINGFIELD, PA 19064(610) 690-4471(610) 690-4474 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 19, 2017 (2 updates tracked since 2017).

About Maura Patricia Mccarthy Do NPPES

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

MAURA PATRICIA MCCARTHY DO (NPI 1659801942) is an individual family medicine provider in Springfield, Pennsylvania, licensed in Pennsylvania (OT018096) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Philadelphia College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1659801942
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMAURA PATRICIA MCCARTHYCredential: DO
Location Address1260 E WOODLAND AVE STE 200Springfield, PA 19064-3956
Mailing Address1260 E Woodland Ave Ste 200Springfield, PA 19064-3956 · (610) 690-4471 · Fax (610) 690-4474
Phone(610) 690-4471
Fax(610) 690-4474
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1659801942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OT018096
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1260 E WOODLAND AVE STE 200, Springfield, PA 19064
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maura Patricia Mccarthy Do 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 ID7517380488
PECOS Enrollment IDI20200710000831
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 11

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 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.
140 services93 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
96 services67 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.
41 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 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.
29 services29 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19064 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 19

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

ANDREW MITCHELL SCHUMACHER DO
Student in an Organized Health Care Education/Training Program
1260 E WOODLAND AVE STE 200
SPRINGFIELD, PA 19064
Delaware County (610) 690-4471
NICOLE FERRARO DO
Family Medicine
1260 E WOODLAND AVE STE 200
SPRINGFIELD, PA 19064
Delaware County (610) 690-4900
DR. PIERCE PUBLICO MD
Student in an Organized Health Care Education/Training Program
1260 E WOODLAND AVE STE 200
SPRINGFIELD, PA 19064
Delaware County (610) 690-4471
SOWMYA SUKUR
Student in an Organized Health Care Education/Training Program
1260 E WOODLAND AVE STE 200
SPRINGFIELD, PA 19064
Delaware County (610) 690-4490
DANISH JAWAD BUTT DO
Student in an Organized Health Care Education/Training Program
1260 E WOODLAND AVE STE 200
SPRINGFIELD, PA 19064
Delaware County (610) 447-2000
PHILLIP ZACCO DO
Student in an Organized Health Care Education/Training Program
1260 E WOODLAND AVE STE 200
SPRINGFIELD, PA 19064
Delaware County (610) 690-4471
KRISHNA PATEL
Student in an Organized Health Care Education/Training Program
1260 E WOODLAND AVE STE 200
SPRINGFIELD, PA 19064
Delaware County (610) 690-4490
MOLLIE BAKER-SALISBURY MD
Family Medicine
1260 E WOODLAND AVE STE 200
SPRINGFIELD, PA 19064
Delaware County (610) 690-4490

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 Maura Mccarthy's NPI number?

The NPI number for Maura Mccarthy is 1659801942. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Maura Mccarthy located?

Maura Mccarthy practices at 1260 E Woodland Ave Ste 200, Springfield, PA 19064. The listed phone number is (610) 690-4471.

What is Maura Mccarthy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maura Mccarthy enrolled in Medicare?

Yes. Maura 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 Maura Mccarthy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Maura 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 Maura Mccarthy affiliated with any hospitals?

According to CMS data, Maura Mccarthy is affiliated with Hospital Of Univ Of Pennsylvania, Bryn Mawr Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Maura Mccarthy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.