DR. GREGORY J MCCARTHY DPM
NPI 1831186865
Podiatrist in Sioux City, IA

Q: What is Gregory Mccarthy's NPI number?

The NPI number for Gregory Mccarthy is 1831186865. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is Gregory Mccarthy's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Mccarthy was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 04, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

2916 HAMILTON BLVD, SIOUX CITY, IA 51104(712) 255-1621(712) 255-1389 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Gregory J Mccarthy Dpm NPPES

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

DR. GREGORY J MCCARTHY DPM (NPI 1831186865) is an individual podiatrist in Sioux City, Iowa, licensed in Iowa (00575) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1993).

NPPES Registry Identity

NPI1831186865

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. GREGORY J MCCARTHYCredential: DPM

Location Address2916 HAMILTON BLVDSioux City, IA 51104-2429

Mailing Address2916 Hamilton BlvdSioux City, IA 51104-2429 · (712) 255-1621 · Fax (712) 255-1389

Phone(712) 255-1621

Fax(712) 255-1389

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1993

Enumeration DateOctober 4, 2005

Last NPPES UpdateApril 28, 2008

✔ NPI 1831186865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in IA · 00575

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

2916 HAMILTON BLVD, Sioux City, IA 51104

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Other Identifiers 11

Medicare UPINU55953IA

Medicare ID-Type UnspecifiedS8671SD · Group Medicare #

Medicaid0435834IA

Medicare ID-Type UnspecifiedI1678IA · Individual Medicare #

Medicare PIN8H264F

Medicaid10025293700NE

Medicare ID-Type Unspecified276747NE · Individual Medicare #

Medicare ID-Type UnspecifiedI7290IA · Group Medicare #

Medicare ID-Type Unspecified099383NE · Group Medicare #

Medicare ID-Type UnspecifiedS8537SD · Individual Medicare #

Medicaid2122473IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory J Mccarthy Dpm 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 ID5597757831

PECOS Enrollment IDI20060913000639, I20100820000590, I20100831000926, I20110124000464

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.

Medicare Billing Reassignments

Medicare enrollment records show Gregory Mccarthy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr Greg J Mccarthy PC

0.1 mi

Podiatrist

2916 HAMILTON BLVD
Sioux City, IA 51104

Reassigned Medicare billing, Iowa, Nebraska and South Dakota enrollments
3 clinicians in this Medicare group

NPI 1922201227 (712) 255-1621

Winnebago Tribe Of Nebraska

20 mi

Mental Health (Including Community Mental Health Center)

225 BLUFF ST
Winnebago, NE 68071

Reassigned Medicare billing, Texas enrollment
90 clinicians in this Medicare group

NPI 1710469234 (402) 745-3950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

1,434 services548 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

276 services104 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

206 services81 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

199 services100 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

95 services95 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.

93 services69 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

78 services78 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

75 services55 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

75 services16 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

50 services49 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

47 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

45 services37 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

26 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Twelve Clans Unity Hospital

Acute Care Hospitals · Winnebago, NE

OwnershipTribal

CMS Certification Number280059

Location225 S Bluff StreetWinnebago, NE 68071 · Thurston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

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

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%593 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%1,328 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%283 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

84%502 patients4/55-star benchmark: 95%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%1,003 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers18 claims36 services$60.41 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

1 supplier15 claims90 services$24.98 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 5

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

EAR NOSE AND THROAT CONSULTANTS AND HEARING SERVICES PLC

Otolaryngology

2916 HAMILTON BLVD, LOWER C SUITE 103
SIOUX CITY, IA 51104

Woodbury County (712) 252-1201

DR. MARTY J KELLEY DPM

Podiatrist

2916 HAMILTON BLVD
SIOUX CITY, IA 51104

Woodbury County (712) 255-1621

SIOUXLAND HEARING HEALTHCARE PLC

Audiologist

2916 HAMILTON BLVD, LOWER C, SUITE 103
SIOUX CITY, IA 51104

Woodbury County (712) 258-3332

MR. MICHAEL LEROY SLONIKER M.S.

Audiologist

2916 HAMILTON BLVD, LOWER C SUITE 103
SIOUX CITY, IA 51104

Woodbury County (712) 258-3332

DR GREG J MCCARTHY PC

Podiatrist

2916 HAMILTON BLVD
SIOUX CITY, IA 51104

Woodbury County (712) 255-1621

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 Gregory Mccarthy's NPI number?

The NPI number for Gregory Mccarthy is 1831186865. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Gregory Mccarthy located?

Gregory Mccarthy practices at 2916 Hamilton Blvd, Sioux City, IA 51104. The listed phone number is (712) 255-1621.

What is Gregory Mccarthy's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Gregory Mccarthy enrolled in Medicare?

Yes. Gregory 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.

Which organizations bill Medicare for Gregory Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Mccarthy reassigns Medicare benefits to 2 organizations: Dr Greg J Mccarthy PC (Sioux City, IA) and Winnebago Tribe Of Nebraska (Winnebago, NE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Mccarthy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Avera Health Plans and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Gregory 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 Gregory Mccarthy affiliated with any hospitals?

According to CMS data, Gregory Mccarthy is affiliated with St Lukes Regional Medical Center and Twelve Clans Unity Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Mccarthy was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.