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DR. DAVID E MCCARTY MD
NPI 1831193630
Internal Medicine - Sleep Medicine in Boulder, CO

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
4895 RIVERBEND RD, BOULDER, CO 80301(720) 279-9098(720) 540-4250 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. David E Mccarty Md NPPES

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

DR. DAVID E MCCARTY MD (NPI 1831193630) is an individual sleep medicine provider in Boulder, Colorado, licensed in Colorado (DR.0054680) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1997).

NPPES Registry Identity

NPI1831193630
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. DAVID E MCCARTYCredential: MD
Location Address4895 RIVERBEND RDBoulder, CO 80301-2640
Mailing Address4895 Riverbend RdBoulder, CO 80301-2640 · (720) 279-9098 · Fax (720) 540-4250
Phone(720) 279-9098
Fax(720) 540-4250
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1997
Enumeration DateJune 9, 2005
Last NPPES UpdateNovember 24, 2015
✔ NPI 1831193630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in CO · DR.0054680
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
4895 RIVERBEND RD, Boulder, CO 80301
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Other Identifiers 3

Medicare ID-Type Unspecified4E947LA
Medicaid1147362LA
Medicare UPINH79156LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Select Health.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. David E Mccarty Md 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 ID8022116151
PECOS Enrollment IDI20150225000422
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 Reassignment

Medicare enrollment records show David Mccarty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elan Sleep LLC
9.9 mi
Sleep Medicine
1630 DRY CREEK DRIVE, SUITE 200
Longmont, CO 80503
  • Reassigned Medicare billing, Colorado enrollment
  • 8 clinicians in this Medicare group
NPI 1982958435 (720) 279-9098

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80301 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
0%624 patients1/55-star benchmark: 85%
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.
99%211 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
77%111 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
87%353 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
22%1,151 patients1/55-star benchmark: 97%
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…
15%1,066 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,151 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
8%1,151 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
25%1,151 patients
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 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
12 suppliers162 claims162 services$36.98 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers50 claims50 services$89.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers55 claims125 services$34.45 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers87 claims455 services$18.68 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers63 claims334 services$14.63 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
15 suppliers137 claims137 services$55.22 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 6

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

BOULDER COMMUNITY HEALTH
Clinic/Center (Sleep Disorder Diagnostic)
4895 RIVERBEND RD
BOULDER, CO 80301
Boulder County (303) 415-8890
DR. ANTHONY S. BARBER D.O.
Psychiatry & Neurology (Sleep Medicine)
4895 RIVERBEND RD, SUITE A
BOULDER, CO 80301
Boulder County (720) 279-9098
JOHN KENNETH MORI M.D.
Psychiatry & Neurology (Sleep Medicine)
4895 RIVERBEND RD, SUITE A
BOULDER, CO 80301
Boulder County (720) 279-9098
SLEEP THERAPEUTICS
Durable Medical Equipment & Medical Supplies
4895 RIVERBEND RD, STE B
BOULDER, CO 80301
Boulder County (303) 248-3581
LINDSEY IRIS DEOL DDS
Dentist (General Practice)
4895 RIVERBEND RD
BOULDER, CO 80301
Boulder County (720) 279-9098
J K HULLETT INCORPORATED
Durable Medical Equipment & Medical Supplies (Customized Equipment)
4895 RIVERBEND RD, SUITE B
BOULDER, CO 80301
Boulder County (303) 786-9200

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 David Mccarty's NPI number?

The NPI number for David Mccarty is 1831193630. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is David Mccarty located?

David Mccarty practices at 4895 Riverbend Rd, Boulder, CO 80301. The listed phone number is (720) 279-9098.

What is David Mccarty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is David Mccarty enrolled in Medicare?

Yes. David Mccarty 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 organization bills Medicare for David Mccarty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Mccarty reassigns Medicare benefits to Elan Sleep LLC (Longmont, CO). The 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 David Mccarty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Mccarty accept?

Health plans from Blue Cross and Blue Shield of Texas and Select Health list David Mccarty 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 David Mccarty was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.