DR. JUSTIN DANIEL MACCARTHY MD
NPI 1881636256
Otolaryngology in Clearfield, PA

Q: What is Justin Maccarthy's NPI number?

The NPI number for Justin Maccarthy is 1881636256. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Justin Maccarthy's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Maccarthy was last updated on November 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 June 12, 2006PECOS Enrolled

73.64/100

CMS Quality Rating

807 TURNPIKE AVE, SUITE 230, CLEARFIELD, PA 16830(814) 768-2822(814) 768-2821 Get Directions Write a Review

NPPES record last updated: November 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Justin Daniel Maccarthy Md NPPES

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

DR. JUSTIN DANIEL MACCARTHY MD (NPI 1881636256) is an individual otolaryngology provider in Clearfield, Pennsylvania, licensed in Pennsylvania (MD430012) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881636256

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. JUSTIN DANIEL MACCARTHYCredential: MD

Location Address807 TURNPIKE AVE, SUITE 230Clearfield, PA 16830-1238

Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 768-2822 · Fax (814) 768-2821

Phone(814) 768-2822

Fax(814) 768-2821

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateNovember 28, 2014

✔ NPI 1881636256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in PA · MD430012

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedSpecialistTaxonomy 174400000X · License 9400908 (NC)

807 TURNPIKE AVE, Clearfield, PA 16830

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Other Identifiers 4

Medicaid1017462840001PA

Medicare UPINA26261NC

Medicare PIN108617PA

Other001888778PA · Highmark Pin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin Daniel Maccarthy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16830 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

73.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.81

Promoting Interoperability

100

Improvement Activities

Cost

42.34

Other Providers at the Same Location NPPES 15

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

LAWRENCE D. BELL, M.D., P.C.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

807 TURNPIKE AVE, SUITE 120
CLEARFIELD, PA 16830

Clearfield County (814) 765-8590

DR. RODOLFO S POLINTAN M.D.

Orthopaedic Surgery

807 TURNPIKE AVE, SUITE 120
CLEARFIELD, PA 16830

Clearfield County (814) 765-8590

DUBOIS REGIONAL MED CENTER - PENN HIGHLANDS DUBOIS MED ARTS CLEARFIELD

Internal Medicine

807 TURNPIKE AVE
CLEARFIELD, PA 16830

Clearfield County (814) 371-2200

CLEAR MED PROVIDER CORPORATION

Clinic/Center (Health Service)

807 TURNPIKE AVE, SUITE 260
CLEARFIELD, PA 16830

Clearfield County (814) 765-4151

DR. MICHAEL THOMAS DOTSEY M.D.

Surgery

807 TURNPIKE AVE, SUITE 120
CLEARFIELD, PA 16830

Clearfield County (814) 765-8590

CLEAR MED PROVIDER CORPORATION

Clinic/Center (Health Service)

807 TURNPIKE AVE, SUITE 220
CLEARFIELD, PA 16830

Clearfield County (814) 762-8064

DRMG OPTHALMOLOGY

Ophthalmology

807 TURNPIKE AVE
CLEARFIELD, PA 16830

Clearfield County (814) 768-8888

DR. THOMAS A CARNEVALE M.D.

Obstetrics & Gynecology

807 TURNPIKE AVE
CLEARFIELD, PA 16830

Clearfield County (814) 765-4151

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 Justin Maccarthy's NPI number?

The NPI number for Justin Maccarthy is 1881636256. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Justin Maccarthy located?

Justin Maccarthy practices at 807 Turnpike Ave Suite 230, Clearfield, PA 16830. The listed phone number is (814) 768-2822.

What is Justin Maccarthy's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Justin Maccarthy enrolled in Medicare?

Yes. Justin Maccarthy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Justin Maccarthy was last updated on November 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.