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DR. MICHAEL JOHN MCCARTHY D.O.
NPI 1851383061
Surgery in Rockford, IL

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
2350 N ROCKTON AVE, SUITE 510, ROCKFORD, IL 61103(815) 963-3426(815) 963-3428 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael John Mccarthy D.o. NPPES

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

DR. MICHAEL JOHN MCCARTHY D.O. (NPI 1851383061) is an individual surgery provider in Rockford, Illinois, licensed in Illinois (036111628) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1851383061
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL JOHN MCCARTHYCredential: D.O.
Location Address2350 N ROCKTON AVE, SUITE 510Rockford, IL 61103-3600
Mailing Address2350 N Rockton Ave, Suite 510Rockford, IL 61103-3600 · (815) 963-3426 · Fax (815) 963-3428
Phone(815) 963-3426
Fax(815) 963-3428
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 16, 2005
Last NPPES UpdateJune 18, 2008
✔ NPI 1851383061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036111628
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.
2350 N ROCKTON AVE, Rockford, IL 61103
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Other Identifiers 2

Medicare UPINI33520IL
Medicare PINK19107IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans.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. Michael John Mccarthy D.o. 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 ID8921035304
PECOS Enrollment IDI20050719000174
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 9

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.
138 services44 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.
45 services45 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services42 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
33 services14 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.
22 services17 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.
21 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61103 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197
DME-Medical/Surgical Supplies · category DA023N
3 suppliers19 claims1,080 services$15.93 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 20

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

PRASAD K. KILARU MD
Internal Medicine (Cardiovascular Disease)
2350 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-2000
JOHN T. DORSEY MD
Internal Medicine
2350 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-7210
DR. MOHSIN KHAN MD
Psychiatry & Neurology (Neurology)
2350 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS
ROCKFORD, IL 61103
Winnebago County (815) 971-7600
DR. DAVID M CHENG MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2350 N ROCKTON AVE, RMB 1ST FLOOR
ROCKFORD, IL 61103
Winnebago County (815) 971-2485
SALLIE VAN DAELE NP
Nurse Practitioner (Adult Health)
2350 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-2200
LEELA L NARRA MD
Internal Medicine (Cardiovascular Disease)
2350 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-2000
MELISSA ALEXANDRA BACHMAN APRN
Nurse Practitioner (Gerontology)
2350 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-3613
REBECCA ZIMMERMAN N.P.
Nurse Practitioner
2350 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 971-2000

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 Michael Mccarthy's NPI number?

The NPI number for Michael Mccarthy is 1851383061. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Michael Mccarthy located?

Michael Mccarthy practices at 2350 N Rockton Ave Suite 510, Rockford, IL 61103. The listed phone number is (815) 963-3426.

What is Michael Mccarthy's specialty?

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

Is Michael Mccarthy enrolled in Medicare?

Yes. Michael 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 Michael Mccarthy accept?

Health plans from MercyCare Health Plans list Michael 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 Michael Mccarthy affiliated with any hospitals?

According to CMS data, Michael Mccarthy is affiliated with Fhn Memorial Hospital, Saint Anthony Medical Center, Javon Bea Hospital and Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Michael Mccarthy was last updated on June 18, 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.