FRANCIS MICHAEL MCCARTHY M.D.
NPI 1861482515
Orthopaedic Surgery in Edenton, NC

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
701 LUKE ST, SUITE C, EDENTON, NC 27932(252) 482-5011(252) 482-0390 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2023, Jan 17, 2023 (2 updates tracked since 2023).

About Francis Michael Mccarthy M.d. NPPES

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

FRANCIS MICHAEL MCCARTHY M.D. (NPI 1861482515) is an individual orthopaedic surgery provider in Edenton, North Carolina, licensed in North Carolina (39299) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1983).

NPPES Registry Identity

NPI1861482515
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameFRANCIS MICHAEL MCCARTHYCredential: M.D.
Location Address701 LUKE ST, SUITE CEdenton, NC 27932-9643
Mailing Address701 Luke St, Suite CEdenton, NC 27932-9643 · (252) 482-5011 · Fax (252) 482-0390
Fax(252) 482-0390
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1983
Enumeration DateOctober 25, 2005
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1861482515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NC · 39299
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedSpecialistTaxonomy 174400000X · License 39299 (NC)
701 LUKE ST, Edenton, NC 27932

Other Names 1

Other Name (5)Francis M Mccarthy

Other Identifiers 2

Other0187VNC · Blue Cross Blue Shield
Medicaid890187VNC

Accepted 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

Francis Michael 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 ID7517867104
PECOS Enrollment IDI20110930000354
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

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27932 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
701 LUKE ST, STE D
EDENTON, NC 27932
Physician Assistant
701 LUKE ST
EDENTON, NC 27932
Family Medicine
701 LUKE ST, SUITE D
EDENTON, NC 27932
Specialist
701 LUKE ST
EDENTON, NC 27932
Family Medicine
701 LUKE ST, STE D
EDENTON, NC 27932

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 Francis Mccarthy's NPI number?

The NPI number for Francis Mccarthy is 1861482515. It was assigned to this individual provider in the NPPES registry on October 25, 2005. The provider is also known as Francis M Mccarthy.

Where is Francis Mccarthy located?

Francis Mccarthy practices at 701 Luke St Suite C, Edenton, NC 27932. The listed phone number is (252) 482-5011.

What is Francis Mccarthy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Francis Mccarthy enrolled in Medicare?

Yes. Francis 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 Francis Mccarthy accept?

Health plans from Blue Cross and Blue Shield of NC list Francis 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 Francis Mccarthy affiliated with any hospitals?

According to CMS data, Francis Mccarthy is affiliated with Sentara Albemarle Medical Center.

When was this NPI record last updated?

The NPPES record for Francis Mccarthy was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.