Active NPI 1033327069 Individual Practitioner Male Practitioner

Dr. John M Mccarthy , MD

Internal Medicine • Canton, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Mccarthy, MD is a certified Internal Medicine practicing in Canton, IL. With approximately 23 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 2003, Dr. Mccarthy delivers high-quality medical care to the local community at 180 S MAIN ST.

Dr. Mccarthy maintains professional affiliations with Proctor Health Systems, Carle Health Care Incorporated, Methodist Medical Center Of Illinois and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 S Main St

Canton, IL 615202608

Telephone 3096470201

Fax 3096498949

Associated Practice Facility / Clinic

🏢 Spoon River Hearing Services Inc Facility NPI 1003030115

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Canton, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -5.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Canton, IL (7544 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccarthy (23 Years) 23 Yrs

Canton Specialty Average (28.5 Years) 28.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	301	143	$224.07	$75.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	188	87	$331.56	$114.31
99239 Hospital discharge day management, more than 30 minutes	105	104	$322.29	$109.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	36	$371.00	$126.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$493.00	$167.49
99238 Hospital discharge day management, 30 minutes or less	20	20	$228.00	$77.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	462	179	$197.00	$77.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	189	97	$283.00	$116.38
99239 Hospital discharge day management, more than 30 minutes	96	95	$288.00	$110.68
99238 Hospital discharge day management, 30 minutes or less	45	45	$197.00	$78.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$374.00	$127.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$547.00	$169.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	11	$107.00	$48.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	486	182	$190.83	$69.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	226	109	$274.87	$97.76
99239 Hospital discharge day management, more than 30 minutes	101	100	$281.41	$101.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	39	$363.76	$132.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$534.53	$193.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	12	$101.21	$37.96
99238 Hospital discharge day management, 30 minutes or less	22	22	$190.82	$68.95
99219 Hospital observation care, typically 50 minutes	17	17	$358.94	$129.54
99220 Hospital observation care, typically 70 minutes	16	16	$482.75	$175.29
99217 Hospital observation care on day of discharge	13	13	$191.69	$69.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	440	180	$187.43	$70.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	234	113	$270.38	$101.65
99239 Hospital discharge day management, more than 30 minutes	83	81	$276.69	$104.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	44	$358.23	$134.10
99238 Hospital discharge day management, 30 minutes or less	41	40	$188.22	$70.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$525.86	$197.15
99219 Hospital observation care, typically 50 minutes	25	25	$352.64	$132.38
99217 Hospital observation care on day of discharge	11	11	$188.18	$70.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	466	180	$186.38	$72.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	157	90	$267.61	$104.13
99238 Hospital discharge day management, 30 minutes or less	72	71	$186.89	$72.81
99239 Hospital discharge day management, more than 30 minutes	45	45	$273.60	$106.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$351.78	$138.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$519.68	$202.61
99219 Hospital observation care, typically 50 minutes	12	12	$349.00	$135.76
99217 Hospital observation care on day of discharge	12	12	$186.83	$72.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	566	190	$180.22	$71.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	132	73	$262.14	$102.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	94	91	$337.45	$135.61
99238 Hospital discharge day management, 30 minutes or less	85	85	$180.07	$71.80
99239 Hospital discharge day management, more than 30 minutes	32	32	$270.50	$105.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$501.38	$199.92
99217 Hospital observation care on day of discharge	17	17	$181.88	$71.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	750	235	$174.10	$72.09
99238 Hospital discharge day management, 30 minutes or less	133	130	$174.26	$71.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	71	$330.01	$135.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	37	$252.16	$103.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$488.89	$201.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	865	250	$169.01	$70.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	144	140	$322.39	$133.37
99238 Hospital discharge day management, 30 minutes or less	133	125	$169.54	$70.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	22	$248.31	$102.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$477.39	$199.98
99219 Hospital observation care, typically 50 minutes	19	19	$318.42	$132.52
99217 Hospital observation care on day of discharge	17	17	$169.59	$71.39

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036117191

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036-117191 (IL)

Commercial Insurance / Payer ID License Number

036117191 (IL)

Hospital & Practice Group Affiliations

Proctor Health Systems

2076 N Main St, Canton, IL 615201054

Phone: 3096476090

Methodist Medical Center Of Illinois

2076 N Main St, Canton, IL 615201054

Phone: 3096476090

Carle Health Care Incorporated

2076 N Main St, Canton, IL 615201054

Phone: 3096746090

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Methodist Medical Center Of Illinois

815 Main St, Peoria, IL 616021080

Phone: 3096724977

Proctor Health Systems

5401 N Knoxville Ave, Peoria, IL 616145021

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. A Savegnago , MD

Family Medicine

NPI 1003924085

Doctor of Medicine (M.D.)

Dara Wagner , APN-C

Nurse Practitioner - Family

NPI 1063046464

APNC

Tracy Iversen , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063261345

Psychiatric-Mental Health Nurse Practitioner

Jessica Bugos , APRN

Nurse Practitioner

NPI 1063976058

Advanced Practice Registered Nurse

Stephen Westhafer

Nurse Practitioner - Family

NPI 1093550436

Jared Grzanich , PA-C

Physician Assistant

NPI 1093984551

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 25, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2011

Registered at 180 S MAIN ST, CANTON, IL 615202608 (Tel: 3096470201)

📍

Updated Business Mailing Address July 25, 2011

Registered at 180 S MAIN ST, CANTON, IL 615202608 (Tel: 3096470201)

👤

Provider Name / Credentials Updated July 25, 2011

Recorded as JOHN MCCARTHY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2011

Internal Medicine (License #036117191 in IL)

🟢

Initial NPI Registration & Enumeration May 21, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033327069

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 21, 2007

Last Update: July 25, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

180 S Main St

Canton, IL 615202608

Phone: 3096470201

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.