MATTHEW STEPHEN MCCARTY M.D.
NPI 1992095434
Hospitalist in Susanville, CA

Q: What is Matthew Mccarty's NPI number?

The NPI number for Matthew Mccarty is 1992095434. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Q: What is Matthew Mccarty's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Mccarty was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 18, 2011PECOS EnrolledAccepts Medicare Assignment

85.54/100

CMS Quality Rating

1800 SPRING RIDGE DR, SUSANVILLE, CA 96130(702) 453-3799(702) 453-5741 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 8, 2019, Mar 3, 2016 (2 updates tracked since 2016).

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About Matthew Stephen Mccarty M.d. NPPES

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

MATTHEW STEPHEN MCCARTY M.D. (NPI 1992095434) is an individual hospitalist provider in Susanville, California, licensed in California (A126240) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2011).

NPPES Registry Identity

NPI1992095434

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMATTHEW STEPHEN MCCARTYCredential: M.D.

Location Address1800 SPRING RIDGE DRSusanville, CA 96130-6100

Mailing AddressPo Box 349Loma Linda, CA 92354-0349 · (702) 453-3799 · Fax (702) 453-5741

Phone(702) 453-3799

Fax(702) 453-5741

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2011

Enumeration DateApril 18, 2011

Last NPPES UpdateJuly 8, 20192 updates tracked since enumeration

✔ NPI 1992095434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in CA · A126240

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License A126240 (CA), 51959 (AZ), 61470 (MN)

1800 SPRING RIDGE DR, Susanville, CA 96130

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Stephen Mccarty 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 ID2668772344

PECOS Enrollment IDI20151202000975

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.

Medicare Billing Reassignments

Medicare enrollment records show Matthew Mccarty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faculty Physicians And Surgeons Of Llusm

418 mi

Transplant Surgery

2020 WELLNESS WAY, STE 506
Las Vegas, NV 89106

Reassigned Medicare billing, California enrollment
2,584 clinicians in this Medicare group

NPI 1124560214 (909) 558-3636

County Of Riverside

476 mi

Federally Qualified Health Center (FQHC)

8876 MISSION BLVD
Jurupa Valley, CA 92509

Reassigned Medicare billing, California enrollment
336 clinicians in this Medicare group

NPI 1871607713 (951) 360-8795

Riverside Faculty Medical Group Inc

488 mi

Internal Medicine

26520 CACTUS AVE
Moreno Valley, CA 92555

Reassigned Medicare billing, California enrollment
111 clinicians in this Medicare group

NPI 1124032461 (951) 486-5700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

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.

135 services60 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

90 services39 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

57 services56 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

29 services29 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96130 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

85.54/100

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

Scored as part of a group practice

Quality

67.15

Promoting Interoperability

Improvement Activities

Cost

53.82

Referred Medical Equipment & Supplies CMS DME claims 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$45.04 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers11 claims11 services$13.53 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier11 claims11 services$18.00 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier11 claims11 services$39.59 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers12 claims12 services$57.73 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier15 claims15 services$21.13 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.

SIERRA ER DEPARTMENT PHYSICIANS MEDICAL GROUP INC.

Emergency Medicine