Gary W McCall, PA-C
Individual provider Active NPI Medical Physician Assistant · Mineola, NY
NPI 1174708283 · NPPES record last updated Mar 4, 2011
Key facts
- NPI
- 1174708283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 012108-1 (NY)
- Practice address
- 259 First Street
Mineola, NY 11501 - Phone
- (516) 606-8363
- NPI assigned
- Jan 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCPC-10 LLC
Practice addresses (Care Compare)
155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-4111
Hospital & facility affiliations
- Firsthealth Home Care
- First Health Home Care - Richmond
- Firsthealth Moore Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.13 of 100
- Quality
- 84.96
- Promoting interoperability
- 82
- Improvement activities
- 40
- Cost
- 81.77
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150821014233 | NC | Practitioner - Physician Assistant | 8426131350 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012108-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-10, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current |
Accepting new patients |
| New York Downtown Hospital FPP | Past | Accepting new patients |
Locations
3716 Morganton Rd
Ste 1
Fayetteville, NC 28303
Phone (910) 715-8700
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
Interoperability endpoints
- gmccall13144@firsthealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 012108-1 | NY | Yes |
Addresses
Primary practice location
259 First Street
Mineola, NY 11501
Mailing address
1048 N. Fletcher Avenue
Valley Stream, NY 11580-1343
Phone (516) 606-8363
Other providers in Mineola, NY
- Denise E. May
- Chiquia Monique Mayhew
- Cynthia Mazer
- Joseph Patrick Mazzie
- Spencer Thomas Mazzilli
- Meredith Alice McCourt
- Edward McDonnell
- Terrence McDonough
- Brendan M McElroy
- Seamus McEntee
All providers in Mineola, NY · Medical Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.