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BRANDON MCCARTHY PA-C
NPI 1669041596
Family Medicine in Ludlow, MA

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
200 CENTER ST, LUDLOW, MA 01056(413) 589-7176 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Brandon Mccarthy Pa-c NPPES

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

BRANDON MCCARTHY PA-C (NPI 1669041596) is an individual family medicine provider in Ludlow, Massachusetts, licensed in Massachusetts (1178382) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1669041596
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRANDON MCCARTHYCredential: PA-C
Location Address200 CENTER STLudlow, MA 01056-2772
Mailing Address143 Parker LnLudlow, MA 01056-3253 · (413) 636-1123
Phone(413) 589-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 24, 2021
NPPES CertifiedJune 24, 2021
✔ NPI 1669041596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 1178382
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.
200 CENTER ST, Ludlow, MA 01056
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Brandon Mccarthy Pa-c 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 ID1658753447
PECOS Enrollment IDI20220726001998
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 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
894 services204 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
490 services152 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
87 services87 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
25 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01056 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 10

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

LUANN LOUGHLIN FNP
Nurse Practitioner (Family)
200 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 589-7176
CHRISTINE GURA NIEDBALA PA-C
Physician Assistant
200 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 589-7176
LUDLOW EYE ASSOCIATES PC
Optometrist
200 CENTER ST, SUITE 1
LUDLOW, MA 01056
Hampden County (413) 583-3600
DR. GINO MERCADANTE, P.C.
Internal Medicine
200 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 589-7176
JESSICA B LIBISZEWSKI NP
Nurse Practitioner (Adult Health)
200 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 589-7176
ANNA PAULA REGO PA
Physician Assistant
200 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 589-7176
LUDLOW EYE CARE PC
Optometrist
200 CENTER ST, #1
LUDLOW, MA 01056
Hampden County (413) 583-3600
GINO MERCADANTE D.O.
Internal Medicine
200 CENTER ST
LUDLOW, MA 01056
Hampden County (413) 589-7176

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 Brandon Mccarthy's NPI number?

The NPI number for Brandon Mccarthy is 1669041596. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Brandon Mccarthy located?

Brandon Mccarthy practices at 200 Center St, Ludlow, MA 01056. The listed phone number is (413) 589-7176.

What is Brandon Mccarthy's specialty?

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

Is Brandon Mccarthy enrolled in Medicare?

Yes. Brandon 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 Brandon Mccarthy accept?

Health plans from Anthem Blue Cross and Blue Shield list Brandon 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 Brandon Mccarthy was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.