DR. RICHARD MCCARTHY D.C.
NPI 1740598184
Chiropractor - Sports Physician in Rancho Santa Margarita, CA
NPI Status: Active since September 20, 2010
Contact Information
29822 AVENIDA DE LAS BANDERAS SUITE A
RANCHO SANTA MARGARITA, CA
ZIP 92688
Phone: (949) 292-6137
- Individual
- Male
- Years of Experience 27
- Chiropractor
- Sports Physician
- Accepts Insurance
- Accepts Medicare Approved Payment
About RICHARD MCCARTHY
This page provides the complete NPI Profile along with additional information for Richard Mccarthy, a provider established in Rancho Santa Margarita, California with a medical specialization in Chiropractor, focusing in sports physician and more than 27 years of experience. He graduated from Cleveland Chiropractic College - Los Angeles in 1999. The healthcare provider is registered in the NPI registry with number 1740598184 assigned on September 2010. The practitioner's primary taxonomy code is 111NS0005X with license number DC26638 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1740598184
- Provider Name
- DR. RICHARD MCCARTHY D.C.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 29822 AVENIDA DE LAS BANDERAS SUITE A RANCHO SANTA MARGARITA, CA 92688
- Location Phone
- (949) 292-6137
- Mailing Address
- 44 CALLE DE FELICIDAD RANCHO SANTA MARGARITA, CA 92688
- Mailing Phone
- (949) 292-6137
- Medical School Name
- CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
- Graduation Year
- 1999
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-20-2010
- Last Update Date
- 01-12-2011
- Code Navigator
A chiropractor like Richard Mccarthy helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor Sports Physician
- Taxonomy Code
- 111NS0005X
- Type
- Chiropractic Providers
- License No.
- DC26638
- License State
- CA
- Taxonomy Description
- A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Richard Mccarthy is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 5092991000
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110509000417
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1740598184, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740598184, enumerated as an "individual" on September 20, 2010.
The provider is located at 29822 AVENIDA DE LAS BANDERAS SUITE A RANCHO SANTA MARGARITA, CA 92688 and the phone number is (949) 292-6137.
Chiropractor with taxonomy code 111NS0005X and a focus in Sports Physician.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
