DR. RYAN TIMOTHY MCCARTHY M.D.
NPI 1780630822
Internal Medicine - Adolescent Medicine in Martinsburg, WV

Q: What is Ryan Mccarthy's NPI number?

The NPI number for Ryan Mccarthy is 1780630822. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Ryan Mccarthy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Mccarthy was last updated on April 7, 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.

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

1002 SUSHRUTA DR, MARTINSBURG, WV 25401(304) 263-0913(304) 267-2917 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2022, Jan 8, 2021 (2 updates tracked since 2021).

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About Dr. Ryan Timothy Mccarthy M.d. NPPES

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

DR. RYAN TIMOTHY MCCARTHY M.D. (NPI 1780630822) is an individual adolescent medicine provider in Martinsburg, West Virginia, licensed in West Virginia (22072) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of West Virginia University School Of Medicine (2002).

NPPES Registry Identity

NPI1780630822

Entity TypeIndividualMale

Primary Taxonomy207RA0000X

Provider Legal NameDR. RYAN TIMOTHY MCCARTHYCredential: M.D.

Location Address1002 SUSHRUTA DRMartinsburg, WV 25401-8897

Mailing Address1002 Sushruta DrMartinsburg, WV 25401-8897 · (304) 263-0913 · Fax (304) 267-2917

Phone(304) 263-0913

Fax(304) 267-2917

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 2002

Enumeration DateMay 26, 2006

Last NPPES UpdateApril 7, 20222 updates tracked since enumeration

NPPES CertifiedApril 7, 2022

✔ NPI 1780630822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0000X

License✔ Licensed in WV · 22072

Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

1002 SUSHRUTA DR, Martinsburg, WV 25401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Ryan Timothy 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 ID1557364932

PECOS Enrollment IDI20060825000134

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 6

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.

569 services292 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.

212 services212 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

164 services28 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.

91 services76 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

33 services26 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511319

Location300 South Preston StreetRanson, WV 25438 · Jefferson County

Emergency services Birthing friendly

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.

94.1/100

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

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers30 claims63 services$6.16 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers13 claims15 services$1.16 avg. paid by Medicare

Indwelling catheter, foley type, two-way, all silicone, each A4344

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$6.44 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$7.66 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers36 claims37 services$35.19 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

2 suppliers11 claims11 services$19.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CITY HOSPITAL INC

Internal Medicine