DR. PAUL MCCARTHY M.D.
NPI 1740347988
Pathology - Anatomic Pathology & Clinical Pathology in Pueblo, CO

Active since January 03, 2007PECOS EnrolledAccepts Medicare Assignment
83.88/100
CMS Quality Rating
400 W 16TH ST, PUEBLO, CO 81003(719) 542-0560(719) 542-0561 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Mccarthy M.d. NPPES

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

DR. PAUL MCCARTHY M.D. (NPI 1740347988) is an individual anatomic pathology & clinical pathology provider in Pueblo, Colorado, licensed in Colorado (37820) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (1995).

NPPES Registry Identity

NPI1740347988
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. PAUL MCCARTHYCredential: M.D.
Location Address400 W 16TH STPueblo, CO 81003-2745
Mailing Address200 S Santa Fe Ave, Suite 303Pueblo, CO 81003-4270 · (719) 542-0560 · Fax (719) 542-0561
Fax(719) 542-0561
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1995
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJune 4, 2015
NPI 1740347988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in CO · 37820
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
400 W 16TH ST, Pueblo, CO 81003

Other Identifiers 3

Medicare PINC31058CO
Medicaid52254569CO
Medicare UPINH16192CO

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. Paul Mccarthy M.d. 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 ID7315837945
PECOS Enrollment IDI20120426000155
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
691 services354 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
144 services47 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
97 services63 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
92 services77 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
85 services70 patients
Cell examination of specimen, concentration technique 88108
Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.
80 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

83.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.19
Promoting Interoperability96
Improvement Activities40
Cost60.5

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.

Dietitian, Registered
400 W 16TH ST
PUEBLO, CO 81003
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Emergency Medicine
400 W 16TH ST
PUEBLO, CO 81003
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Internal Medicine
400 W 16TH ST
PUEBLO, CO 81003
Nurse Anesthetist, Certified Registered
400 W 16TH ST
PUEBLO, CO 81003

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 Paul Mccarthy's NPI number?

The NPI number for Paul Mccarthy is 1740347988. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Paul Mccarthy located?

Paul Mccarthy practices at 400 W 16th St, Pueblo, CO 81003. The listed phone number is (719) 542-0560.

What is Paul Mccarthy's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Paul Mccarthy enrolled in Medicare?

Yes. Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Mccarthy was last updated on June 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.