Active NPI 1356579684 Individual Practitioner Male Practitioner

Dr. Kevin James Mccarthy , MD

Orthopaedic Surgery • O Fallon, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Mccarthy, MD is a certified Orthopaedic Surgery practicing in O Fallon, IL. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Mccarthy delivers high-quality medical care to the local community at 670 PIERCE BLVD.

Dr. Mccarthy is affiliated with Hshs Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, x-ray of hip, 2-3 views, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

670 Pierce Blvd

O Fallon, IL 622692579

Telephone 6182062094

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in O Fallon, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -5.7 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

3 Specialists

Practicing in O Fallon, IL (1064 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccarthy (17 Years) 17 Yrs

O Fallon Specialty Average (22.7 Years) 22.7 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
J1010 Injection, methylprednisolone acetate, 1 mg	1,440	27	$0.54	$0.13
73502 X-ray of hip, 2-3 views	320	105	$114.64	$24.10
73562 X-ray of knee, 3 views	278	97	$98.93	$21.03
99213 Established patient office or other outpatient visit, typically 15 minutes	149	120	$178.00	$91.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	93	$251.00	$130.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$330.00	$167.98
20610 Aspiration and/or injection of fluid from large joint	79	49	$186.00	$77.37
73610 X-ray of ankle, minimum of 3 views	71	23	$84.80	$18.16
73630 X-ray of foot, minimum of 3 views	54	20	$79.52	$16.85
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	51	15	$398.00	$118.51
27130 Replacement of thigh bone and hip joint with prosthesis	39	36	$3415.00	$1387.86
72170 X-ray of pelvis, 1-2 views	32	18	$64.94	$15.33
99221 Initial hospital inpatient care per day, typically 30 minutes	31	31	$200.00	$87.12
27447 Replacement of knee joint, both sides of knee	30	30	$3410.00	$1352.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$221.00	$114.26
J1030 Injection, methylprednisolone acetate, 40 mg	16	12	$11.00	$6.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	248	96	$81.26	$23.80
73502 X-ray of hip, 2-3 views	237	96	$90.80	$27.71
99213 Established patient office or other outpatient visit, typically 15 minutes	180	134	$156.74	$89.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	64	$234.80	$127.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$322.25	$165.04
73610 X-ray of ankle, minimum of 3 views	59	25	$67.98	$23.79
27130 Replacement of thigh bone and hip joint with prosthesis	50	47	$3290.60	$1351.78
20610 Aspiration and/or injection of fluid from large joint	39	24	$186.00	$71.15
J1030 Injection, methylprednisolone acetate, 40 mg	38	22	$11.00	$7.63
99221 Initial hospital inpatient care per day, typically 30 minutes	36	36	$197.08	$86.43
73630 X-ray of foot, minimum of 3 views	33	14	$67.73	$22.56
27447 Replacement of knee joint, both sides of knee	31	31	$3271.81	$1301.77
72170 X-ray of pelvis, 1-2 views	23	14	$61.61	$16.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$213.64	$113.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	327	96	$47.66	$20.73
73502 X-ray of hip, 2-3 views	211	81	$45.14	$23.75
99213 Established patient office or other outpatient visit, typically 15 minutes	163	134	$135.00	$91.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	80	$201.00	$127.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$313.00	$170.00
73630 X-ray of foot, minimum of 3 views	69	23	$40.87	$17.48
73610 X-ray of ankle, minimum of 3 views	51	17	$42.20	$18.95
20610 Aspiration and/or injection of fluid from large joint	35	27	$186.00	$76.93
27447 Replacement of knee joint, both sides of knee	34	31	$3104.00	$1347.36
J1030 Injection, methylprednisolone acetate, 40 mg	27	22	$11.00	$6.28
27130 Replacement of thigh bone and hip joint with prosthesis	25	24	$3104.00	$1332.91
72170 X-ray of pelvis, 1-2 views	25	13	$37.48	$14.60
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$195.00	$104.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$203.00	$114.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	261	82	$47.59	$20.32
73502 X-ray of hip, 2-3 views	251	82	$44.27	$23.09
99213 Established patient office or other outpatient visit, typically 15 minutes	194	137	$135.00	$92.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	49	$201.00	$131.14
73630 X-ray of foot, minimum of 3 views	54	23	$41.44	$16.78
73610 X-ray of ankle, minimum of 3 views	52	21	$42.60	$18.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$313.00	$173.09
27130 Replacement of thigh bone and hip joint with prosthesis	36	36	$3104.00	$1365.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$203.00	$112.88
72170 X-ray of pelvis, 1-2 views	33	17	$37.24	$13.74
27447 Replacement of knee joint, both sides of knee	29	28	$3104.00	$1361.47
20610 Aspiration and/or injection of fluid from large joint	26	20	$186.00	$69.13
J1030 Injection, methylprednisolone acetate, 40 mg	18	14	$11.00	$5.25
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$195.00	$105.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	215	73	$49.45	$20.81
73502 X-ray of hip, 2-3 views	200	70	$46.83	$23.69
99213 Established patient office or other outpatient visit, typically 15 minutes	198	135	$135.00	$75.99
73610 X-ray of ankle, minimum of 3 views	65	18	$43.69	$18.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$203.00	$109.30
73630 X-ray of foot, minimum of 3 views	43	14	$44.53	$18.61
20610 Aspiration and/or injection of fluid from large joint	36	23	$186.00	$76.72
27447 Replacement of knee joint, both sides of knee	29	27	$3104.00	$1467.33
27130 Replacement of thigh bone and hip joint with prosthesis	27	26	$3104.00	$1503.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$201.00	$110.43
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$195.00	$107.86
J1030 Injection, methylprednisolone acetate, 40 mg	17	12	$11.00	$6.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$81.00	$45.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$387.00	$212.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	115	$135.00	$73.43
73562 X-ray of knee, 3 views	161	81	$71.84	$32.50
73502 X-ray of hip, 2-3 views	120	60	$72.37	$34.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$203.00	$109.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	79	$201.00	$107.71
20610 Aspiration and/or injection of fluid from large joint	67	40	$188.78	$58.22
73630 X-ray of foot, minimum of 3 views	66	29	$52.86	$22.68
73610 X-ray of ankle, minimum of 3 views	49	33	$65.35	$29.91
J1030 Injection, methylprednisolone acetate, 40 mg	43	33	$11.00	$6.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	28	$81.00	$43.97
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$195.00	$106.28
27447 Replacement of knee joint, both sides of knee	25	24	$3104.00	$1482.42
27130 Replacement of thigh bone and hip joint with prosthesis	18	17	$3104.00	$1483.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	201	100	$74.26	$28.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	152	103	$80.87	$43.48
73502 X-ray of hip, 2-3 views	93	52	$81.45	$34.34
20610 Aspiration and/or injection of fluid from large joint	85	51	$185.46	$57.06
73630 X-ray of foot, minimum of 3 views	73	34	$63.21	$23.02
99213 Established patient office or other outpatient visit, typically 15 minutes	72	56	$135.00	$72.78
J1030 Injection, methylprednisolone acetate, 40 mg	70	45	$11.00	$6.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$203.00	$107.87
73610 X-ray of ankle, minimum of 3 views	60	28	$66.20	$24.96
73110 X-ray of wrist, minimum of 3 views	32	11	$75.94	$26.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	17	$201.00	$107.21
27447 Replacement of knee joint, both sides of knee	20	20	$3104.00	$1400.21
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$137.00	$75.07
73030 X-ray of shoulder, minimum of 2 views	16	12	$66.00	$21.03
27130 Replacement of thigh bone and hip joint with prosthesis	15	13	$3104.00	$1465.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$138.00	$74.46
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$2810.00	$1324.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73562 X-ray of knee, 3 views	205	70	$78.00	$19.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	175	113	$81.00	$43.06
73630 X-ray of foot, minimum of 3 views	113	30	$66.00	$15.85
20610 Aspiration and/or injection of fluid from large joint	110	60	$186.00	$65.93
73502 X-ray of hip, 2-3 views	101	29	$87.00	$21.29
73610 X-ray of ankle, minimum of 3 views	89	26	$70.00	$17.11
J1030 Injection, methylprednisolone acetate, 40 mg	88	58	$11.00	$5.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$203.00	$108.12
99213 Established patient office or other outpatient visit, typically 15 minutes	77	65	$135.00	$72.64
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	45	11	$226.00	$151.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	25	$264.00	$140.45

Medical Specialties & State Licenses

CMS Verified: 2022-01-06

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IL 036138387

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License KS 94-07207

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

1512 N Green Mount Rd, Ofallon, IL 622691953

Phone: 6186245510

Hshs Medical Group Inc

1900 E Lake Shore Dr, Decatur, IL 625213848

Phone: 2174232889

Hshs Medical Group Inc

670 Pierce Blvd, O Fallon, IL 622692579

Phone: 6187262133

Practice Associates & Co-Workers

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

9 Associated Practitioners

Michael Hohm , PA-C

Physician Assistant

NPI 1114542404

Physician Assistant (Certified)

Michael Mcguire , PA-C, ATC

Physician Assistant

NPI 1164931960

Physician Assistant (Certified), Certified Athletic Trainer

Kimberly Burgess , AGNP-C

Nurse Practitioner

NPI 1164956066

Adult-Gerontology Nurse Practitioner (Certified)

Ricki Loar , APN

Nurse Practitioner - Family

NPI 1194723312

Advanced Practice Nurse

Dr. Andres Lerner , MD

Orthopaedic Surgery - Hand Surgery

NPI 1285865204

Doctor of Medicine (M.D.)

Kody Hindman

Physician Assistant

NPI 1295378610

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 06, 2022

Registered at 670 PIERCE BLVD, O FALLON, IL 622692579 (Tel: 6182062094)

📍

Updated Business Mailing Address January 06, 2022

Registered at 670 PIERCE BLVD, O FALLON, IL 622692579 (Tel: 6182062094)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2022

Orthopaedic Surgery (License #94-07207 in KS)

✅

NPI Profile Active June 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2015

Registered at 180 S 3RD ST, BELLEVILLE, IL 622201952 (Tel: 6182342120)

📍

Updated Business Mailing Address June 24, 2015

Registered at 180 S 3RD ST, BELLEVILLE, IL 622201952 (Tel: 6182342120)

👤

Provider Name / Credentials Updated June 24, 2015

Recorded as KEVIN MCCARTHY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2015

Orthopaedic Surgery (License #036138387 in IL)

🟢

Initial NPI Registration & Enumeration June 25, 2009

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: 1356579684

Entity Type:

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

Enumeration Date: June 25, 2009

Last Update: January 06, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

670 Pierce Blvd

O Fallon, IL 622692579

Phone: 6182062094

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.