DR. SUSAN MCCARTNEY MD
NPI 1932668043
Internal Medicine in Lubbock, TX

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1610 5TH ST, LUBBOCK, TX 79401(806) 765-2611 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2021, Mar 18, 2019 (2 updates tracked since 2019).

About Dr. Susan Mccartney Md NPPES

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

DR. SUSAN MCCARTNEY MD (NPI 1932668043) is an individual internal medicine provider in Lubbock, Texas, licensed in Texas (H3119) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1983).

NPPES Registry Identity

NPI1932668043
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUSAN MCCARTNEYCredential: MD
Location Address1610 5TH STLubbock, TX 79401-2622
Mailing Address117 N Pontiac AveLubbock, TX 79416-3733 · (806) 470-2401
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1983
Enumeration DateMarch 18, 2019
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
NPI 1932668043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · H3119
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1610 5TH ST, Lubbock, TX 79401

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

Dr. Susan Mccartney 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 ID4587993985
PECOS Enrollment IDI20190910003484
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79401 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality91.19
Promoting Interoperability100
Improvement Activities40

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.

Community Health Worker
1610 5TH ST
LUBBOCK, TX 79401
Counselor
1610 5TH ST
LUBBOCK, TX 79401
Dentist
1610 5TH ST
LUBBOCK, TX 79401
Clinic/Center (Federally Qualified Health Center (FQHC))
1610 5TH ST
LUBBOCK, TX 79401
Pharmacist
1610 5TH ST
LUBBOCK, TX 79401
Pharmacy (Community/Retail Pharmacy)
1610 5TH ST
LUBBOCK, TX 79401
Midwife
1610 5TH ST
LUBBOCK, TX 79401
Dentist (General Practice)
1610 5TH ST
LUBBOCK, TX 79401

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 Susan Mccartney's NPI number?

The NPI number for Susan Mccartney is 1932668043. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Susan Mccartney located?

Susan Mccartney practices at 1610 5th St, Lubbock, TX 79401. The listed phone number is (806) 765-2611.

What is Susan Mccartney's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Mccartney enrolled in Medicare?

Yes. Susan Mccartney 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 Susan Mccartney accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Susan Mccartney 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 Susan Mccartney was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.