Marshall James McCarty, P.A.-C
Individual provider Active NPI Physician Assistant · West Des Moines, IA
NPI 1992168140 · NPPES record last updated Apr 4, 2016
Key facts
- NPI
- 1992168140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 80762 (IA)
- Practice address
- 6001 Westown Pkwy
West Des Moines, IA 50266-7702 - Phone
- (515) 224-1414
- Fax
- (515) 224-5308
- NPI assigned
- Apr 4, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dean Health Systems Inc
Practice addresses (Care Compare)
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (608) 260-6000
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-2000
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - Madison
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.15 of 100
- Quality
- 73.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.71
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20171228001798 | WI | Practitioner - Physician Assistant | 1850690827 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80762 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Dean Health Systems, Inc. | Current |
Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Dean Health Systems, Inc | Current |
Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
Interoperability endpoints
- mmccarty532429@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 80762 | IA | Yes |
Addresses
Primary practice location
6001 Westown Pkwy
West Des Moines, IA 50266-7702
Mailing address
6001 Westown Pkwy
West Des Moines, IA 50266-7702
Phone (515) 224-1414
Other providers in West Des Moines, IA
- Nicholas McCall
- Emily McCalley
- Diana D McCann
- Dustin McCann
- Curtis Lee McCarty III
- Julie McClatchey
- McCleary Internal Medicine PC
- Heather E. McClellan
- Marina McCollom
- Matthew P McCormick
All providers in West Des Moines, IA · Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2016. 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.