Individual provider Active NPI

James Edward McCarthy, M.D.

  • Plastic Surgery Physician
  • Loveland, CO
National Provider Identifier
1417174608
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD216630 Issued in OR
Practice address
2500 Rocky Mountain Ave Ste 330
Loveland, CO 80538-9004
Phone
(970) 493-8800
NPI assigned
Apr 19, 2007
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD216630 OR Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 0056618 CO

Addresses

Primary practice location

2500 Rocky Mountain Ave Ste 330
Loveland, CO 80538-9004

Mailing address

2315 E Harmony Rd Ste 160
Fort Collins, CO 80528-8620
Phone (970) 493-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160708000467 CO Practitioner - Plastic and Reconstructive SurgeryPractitioner - Pediatric Medicine 1759536097 Reassigns benefits to 1 organization
Practice locations: Loveland, CO
I20230809002428 OR Practitioner - Pediatric Medicine 1759536097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Geisel School of Medicine at Dartmouth, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

2222 NW Lovejoy St
Suite 304
Portland, OR 97210-5100
Phone (503) 413-5787

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy15
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0056618COMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McCarthy Plastic Surgery, PLLC Plastic Surgery CurrentSince Feb 10, 2018 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Poudre Valley Medical Group, LLC Plastic Surgery CurrentSince Apr 9, 2018 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 28, 2023 Accepting new patients
Legacy Clinics LLC CurrentSince Jul 28, 2023 Accepting new patients

Locations

2315 E Harmony Rd
Ste 160
Fort Collins, CO 80528
Phone (970) 493-8800

2500 Rocky Mountain Ave
Ste 2130
Loveland, CO 80538
Phone (970) 286-2446

2500 Rocky Mountain Ave
Ste 220
Loveland, CO 80538
Phone (970) 336-1500

2500 Rocky Mountain Ave
Ste 2200
Loveland, CO 80538
Phone (970) 203-7250

2500 Rocky Mountain Ave
Ste 330
Loveland, CO 80538
Phone (970) 203-7110

25050 SE Stark St
Ste 265
Gresham, OR 97030
Phone (503) 674-1520

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2222 NW Lovejoy St
Ste 304
Portland, OR 97210
Phone (503) 274-4994

Organizations & group practices 5

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

Hospital & facility affiliations 6

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1417174608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 E HARMONY RD STE 160",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805288620",
            "telephone_number": "970-493-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE STE 330",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-493-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD216630",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "CO",
            "license": "0056618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.