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DR. KEVIN EDWARD MCCARTHY M.D.
NPI 1851302590
Surgery in Needham, MA

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
148 CHESTNUT ST, NEEDHAM, MA 02492(781) 453-7740 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kevin Edward Mccarthy M.d. NPPES

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

DR. KEVIN EDWARD MCCARTHY M.D. (NPI 1851302590) is an individual surgery provider in Needham, Massachusetts, licensed in Massachusetts (216306) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of Tufts University School Of Medicine (1997).

NPPES Registry Identity

NPI1851302590
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KEVIN EDWARD MCCARTHYCredential: M.D.
Location Address148 CHESTNUT STNeedham, MA 02492-2505
Mailing Address825 Washington St, Suite 270Norwood, MA 02062-3441 · (781) 769-0500 · Fax (781) 769-2267
Phone(781) 453-7740
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1997
Enumeration DateAugust 10, 2006
Last NPPES UpdateJune 7, 2022
NPPES CertifiedJune 7, 2022
✔ NPI 1851302590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MA · 216306✔ Licensed in ME · 015450
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
148 CHESTNUT ST, Needham, MA 02492
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Other Identifiers 10

OtherP201453844MA · One Health Plan
Other703070MA · Cigna
Other000000026867MA · Boston Medical
Other3226021MA · Aetna
Other50340MA · Healthystart
Other0035302MA · Nhp
Medicaid2016460MA
Other216306MA · Tufts Ins.
Other802628MA · Pilgrim
OtherJ26207MA · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Kevin Edward 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 ID7214835180
PECOS Enrollment IDI20031230000253
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 10

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 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.
61 services48 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.
60 services60 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.
57 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
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.
48 services36 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02492 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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%156 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%978 patients5/55-star benchmark: 100%
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.
95%109 patients4/55-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.
2%172 patients1/55-star benchmark: 100%
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…
94%422 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
99%81 patients4/55-star benchmark: 100%
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…
63%172 patients3/55-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…
35%172 patients2/55-star benchmark: 79%
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.

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.

GRETCHEN O'BRIEN N.P.
Nurse Practitioner
148 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (781) 453-7750
MRS. CAROL JEANNE MURPHY ANP RNMSCS
Nurse Practitioner (Occupational Health)
148 CHESTNUT ST, BETH ISRAEL DEACONESS HOSPITAL NEEDHAM
NEEDHAM, MA 02492
Norfolk County (781) 453-3028
MARK E HAFFENREFFER M.D.
Orthopaedic Surgery (Sports Medicine)
148 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (781) 453-5710
DR. PHILIP DANIEL MESSER D.O.
Hospitalist
148 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (781) 453-3777
ISABELLA D'AMBRA RD
Dietitian, Registered
148 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (401) 338-3448
ENYA HAN
Registered Nurse
148 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (781) 453-3000
LISA M FLEMING M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
148 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (781) 453-5238
GHANIA Y EL AKIKI M.D.
Internal Medicine (Geriatric Medicine)
148 CHESTNUT ST
NEEDHAM, MA 02492
Norfolk County (781) 453-3880

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 Kevin Mccarthy's NPI number?

The NPI number for Kevin Mccarthy is 1851302590. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Kevin Mccarthy located?

Kevin Mccarthy practices at 148 Chestnut St, Needham, MA 02492. The listed phone number is (781) 453-7740.

What is Kevin Mccarthy's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kevin Mccarthy enrolled in Medicare?

Yes. Kevin 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.

What insurance does Kevin Mccarthy accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin 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 Kevin Mccarthy affiliated with any hospitals?

According to CMS data, Kevin Mccarthy is affiliated with Beth Israel Deaconess Hospital - Needham and Beth Israel Deaconess Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Mccarthy was last updated on June 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.