NPIMap

Individual provider Active NPI

Brent Van McCarty, M.D.

  • Orthopaedic Hand Surgery Physician
  • Covington, LA
National Provider Identifier
1487949483
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
MD.205933 Issued in LA
Practice address
1200 Pinnacle Pkwy
Covington, LA 70433-9167
Phone
(985) 674-1700
Fax
(985) 273-3322
NPI assigned
Jun 17, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X MD.205933 LA Primary

Addresses

Primary practice location

1200 Pinnacle Pkwy
Covington, LA 70433-9167

Mailing address

1200 Pinnacle Pkwy
Covington, LA 70433-9167
Phone (985) 674-1700

Other practice location 1

433 Plaza St Ste 2B
Bogalusa, LA 70427-3729
Phone (985) 730-7034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727003533 LA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 7810276458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Mississippi School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avala Physician Network LLCGroup PAC ID 8527472422, 12 clinicians

Practice addresses (Care Compare)

67252 Industry LN
Covington, LA 70433-8704
Phone (985) 801-0259

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)17
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.205933LAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avala Physician Network, LLC Single Specialty CurrentSince Apr 1, 2022 Accepting new patients
Our Lady of the Angels Hospital, Inc. Past Accepting new patients
Washington St. Tammany Regional Medical Center Past Accepting new patients

Locations

1200 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 674-1700

1200 Pinnacle Pkwy
Ste 3
Covington, LA 70433
Phone (985) 674-1700

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487949483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PINNACLE PKWY",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339167",
            "telephone_number": "985-674-1700",
            "fax_number": "985-273-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PINNACLE PKWY",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704339167",
            "telephone_number": "985-674-1700",
            "fax_number": "985-273-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Plaza St Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-7034",
            "fax_number": "985-730-7036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "BRENT",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2022-07-21",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "LA",
            "license": "MD.205933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.