James Edward Mccarthy, MD - Medicare Pediatric Medicine in Loveland, CO

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James Edward Mccarthy, MD is a medicare enrolled "Plastic Surgery" physician in Loveland, Colorado. He went to Geisel School Of Medicine At Dartmouth and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Legacy Clinics Llc and his current practice location is 2500 Rocky Mountain Ave Ste 330, Loveland, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 493-8800.

James Edward Mccarthy is licensed to practice in Oregon (license number MD216630) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417174608.

Contact Information

James Edward Mccarthy, MD
2500 Rocky Mountain Ave Ste 330,
Loveland, CO 80538-9004
(970) 493-8800
Not Available

Map and Direction




Physician's Profile

Full NameJames Edward Mccarthy
GenderMale
SpecialityPediatric Medicine
Experience17 Years
Location2500 Rocky Mountain Ave Ste 330, Loveland, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • James Edward Mccarthy attended and graduated from Geisel School Of Medicine At Dartmouth in 2007
  NPI Data:
  • NPI Number: 1417174608
  • Provider Enumeration Date: 04/19/2007
  • Last Update Date: 07/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1759536097
  • Enrollment ID: I20230809002428

Medical Identifiers

Medical identifiers for James Edward Mccarthy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417174608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2082S0099XPlastic Surgery - Plastic Surgery Within The Head And Neck 0056618 (Colorado)Secondary
208200000XPlastic Surgery MD216630 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Good Samaritan Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Clinics Llc0244144004633

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. James Edward Mccarthy allows following entities to bill medicare on his behalf.
Entity NameLegacy Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902827272
PECOS PAC ID: 0244144004
Enrollment ID: O20031117000089

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James Edward Mccarthy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
James Edward Mccarthy, MD
2315 E Harmony Rd Ste 160,
Fort Collins, CO 80528-8620

Ph: (970) 493-8800		James Edward Mccarthy, MD
2500 Rocky Mountain Ave Ste 330,
Loveland, CO 80538-9004

Ph: (970) 493-8800

Reviews and Comments


Plastic Surgery Doctors in Loveland, CO

Warren Patrick Schutte, MD
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Rocky Mountain Ave, Ste 130, Loveland, CO 80538
Phone: 303-872-8250    Fax: 303-558-4152
Katherine Marie Shaum,
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Rocky Mountain Ave Ste 330, Loveland, CO 80538
Phone: 970-203-7110    Fax: 970-203-7098
Meng Guo, M.D.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 2500 Rocky Mountain Ave # 310, Loveland, CO 80538
Phone: 970-203-7110    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.