Active NPI 1851302590 Individual Practitioner Male Practitioner

Dr. Kevin Edward Mccarthy , MD

Surgery • Needham, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Mccarthy, MD is a certified Surgery practicing in Needham, MA. With approximately 29 years of clinical experience since graduating from Tufts University School Of Medicine in 1997, Dr. Mccarthy delivers high-quality medical care to the local community at 148 CHESTNUT ST.

Dr. Mccarthy maintains professional affiliations with Atrius Health Inc, Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof 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

148 Chestnut St

Needham, MA 024922505

Telephone 7814537740

Associated Practice Facility / Clinic

🏢 Beth Israel Deaconess Hospital-Needham, Inc. Facility NPI 1205893450

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Needham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +2.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Needham, MA (1077 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccarthy (29 Years) 29 Yrs

Needham Specialty Average (27.0 Years) 27.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	61	48	$221.00	$69.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$273.00	$84.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	37	$233.00	$82.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$446.00	$139.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	36	$326.00	$100.68
49505 Repair of groin hernia (5 years or older)	23	23	$2287.00	$559.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$341.71	$121.75
47562 Removal of gallbladder using an endoscope	15	15	$2570.11	$660.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$650.00	$181.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$458.82	$136.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$273.00	$88.03
99213 Established patient office or other outpatient visit, typically 15 minutes	45	32	$221.00	$69.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$446.00	$141.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$326.00	$103.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	23	$233.00	$84.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$441.00	$138.18
49505 Repair of groin hernia (5 years or older)	15	15	$2287.00	$565.67
47562 Removal of gallbladder using an endoscope	13	13	$2878.00	$708.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$118.00	$37.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$650.00	$184.30

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	47	35	$331.04	$76.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$446.00	$145.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$273.00	$90.09
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$221.00	$72.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$293.26	$40.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$326.00	$105.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$603.13	$210.04
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$425.00	$102.56
99284 Emergency department visit with moderate level of medical decision making	13	13	$450.62	$129.55

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	62	46	$425.00	$75.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$512.78	$184.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$470.00	$126.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	24	$321.77	$40.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$494.64	$208.01
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$417.86	$102.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$469.44	$145.75
55520 Removal of spermatic cord growth	14	14	$1514.29	$204.36
49505 Repair of groin hernia (5 years or older)	13	13	$1815.54	$473.28
99285 Emergency department visit for life threatening or functioning severity	11	11	$520.45	$186.75
47562 Removal of gallbladder using an endoscope	11	11	$2472.91	$600.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$456.82	$140.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	46	$350.00	$85.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	32	$378.92	$79.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$453.72	$185.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$419.67	$120.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$427.50	$220.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$400.00	$123.76
47562 Removal of gallbladder using an endoscope	11	11	$2618.27	$630.73

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	86	44	$375.00	$78.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$425.00	$180.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	38	$425.00	$217.16
99213 Established patient office or other outpatient visit, typically 15 minutes	38	32	$350.00	$82.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$400.00	$119.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$400.00	$119.69
47562 Removal of gallbladder using an endoscope	17	17	$2223.82	$508.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	14	$400.00	$111.57
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$475.00	$225.80
49505 Repair of groin hernia (5 years or older)	11	11	$1709.82	$403.56

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	72	43	$375.00	$86.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	27	$400.00	$124.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$425.00	$198.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$425.00	$241.64
99213 Established patient office or other outpatient visit, typically 15 minutes	29	25	$350.00	$89.06
47562 Removal of gallbladder using an endoscope	21	21	$2741.00	$549.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$400.00	$130.66
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$475.00	$249.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$400.00	$130.09

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	113	64	$328.98	$76.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$425.00	$176.35
99213 Established patient office or other outpatient visit, typically 15 minutes	50	40	$350.00	$79.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	25	$400.00	$116.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$400.00	$117.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	18	$397.12	$110.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$425.00	$213.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	17	$375.00	$144.12
47562 Removal of gallbladder using an endoscope	16	16	$2412.50	$433.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	12	$246.67	$41.28
49505 Repair of groin hernia (5 years or older)	13	13	$1713.46	$407.63
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$452.27	$221.34

Medical Specialties & State Licenses

CMS Verified: 2022-06-07

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 216306

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License ME 015450

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2016460 (MA)

Commercial Insurance / Payer ID Boston Medical

000000026867 (MA)

Commercial Insurance / Payer ID Pilgrim

802628 (MA)

Commercial Insurance / Payer ID Tufts Ins.

216306 (MA)

Commercial Insurance / Payer ID Nhp

0035302 (MA)

Commercial Insurance / Payer ID Cigna

703070 (MA)

Commercial Insurance / Payer ID One Health Plan

P201453844 (MA)

Commercial Insurance / Payer ID Aetna

3226021 (MA)

Commercial Insurance / Payer ID Blue Shield

J26207 (MA)

Commercial Insurance / Payer ID Healthystart

50340 (MA)

Hospital & Practice Group Affiliations

Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is

148 Chestnut St, Needham, MA 024922505

Atrius Health Inc

133 Brookline Ave, Boston, MA 022153904

Phone: 6174211000

Atrius Health Inc

1 Lyons St, Dedham, MA 020265599

Phone: 7813291400

Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is

145 Rosemary St, Needham, MA 024943259

Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is

101 Page St, New Bedford, MA 027403464

Phone: 7819839088

Secondary Practice Locations

825 Washington St, Suite #270

Norwood, MA 020623441

Phone: 7817690500

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Adriana Meholick , MD

Surgery

NPI 1477915106

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location June 07, 2022

Registered at 148 CHESTNUT ST, NEEDHAM, MA 024922505 (Tel: 7814537740)

✅

NPI Profile Active June 03, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2008

Registered at 825 WASHINGTON ST, SUITE #270, NORWOOD, MA 020623441 (Tel: 7817690500)

📍

Updated Business Mailing Address June 03, 2008

Registered at 825 WASHINGTON ST, SUITE 270, NORWOOD, MA 020623441 (Tel: 7817690500)

👤

Provider Name / Credentials Updated June 03, 2008

Recorded as KEVIN MCCARTHY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2008

Surgery (License #216306 in MA)

🟢

Initial NPI Registration & Enumeration August 10, 2006

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: 1851302590

Entity Type:

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

Enumeration Date: August 10, 2006

Last Update: June 07, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

825 Washington St, Suite 270

Norwood, MA 020623441

Phone: 7817690500

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.