Individual provider Active NPI

Brian McCarthy, PA-C

  • Surgical Physician Assistant
  • Lewes, DE
National Provider Identifier
1174609168
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C5-0000558 Issued in DE
Practice address
Beebe Medical Center
424 Savannah Road
Lewes, DE 19958-0226
Phone
(302) 645-3100
Fax
(302) 645-3632
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X C5-0000558 DE Primary

Addresses

Primary practice location

Beebe Medical Center
424 Savannah Road
Lewes, DE 19958-0226

Mailing address

170 Maple St
Hammonton, NJ 08037-1419
Phone (267) 978-4782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121228000043 DE Practitioner - Physician Assistant 4688636970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

32550 Docs PL
Unit 2
Millville, DE 19967-6975
Phone (302) 539-4302

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3525

431 Savannah Rd
Lewes, DE 19958-1460
Phone (302) 644-4282

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000558DEMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Interventional Associates LLC PastSince Feb 21, 2014 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19398/brand/1/csg/1/fhir/r4
  • Direct secure messaging: bmccarthy22805@beebehealth.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174609168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MAPLE ST",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371419",
            "telephone_number": "267-978-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEEBE MEDICAL CENTER",
            "address_2": "424 SAVANNAH ROAD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199580226",
            "telephone_number": "302-645-3100",
            "fax_number": "302-645-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "DE",
            "license": "C5-0000558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.