Active NPI 1316912454 Individual Practitioner Male Practitioner

Dr. John J Mccarthy , MD

Orthopaedic Surgery • Williamsburg, VA

Professional Overview & Biography Verified Profile Summary

Dr. John Mccarthy, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Williamsburg, VA. Practice services are available at 5208 MONTICELLO AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5208 Monticello Ave
Suite 180

Williamsburg, VA 231888212

Telephone 7572064001

Fax 7576453965

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Williamsburg, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 26.8 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

7 Specialists

Practicing in Williamsburg, VA (618 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,283	660	$227.06	$91.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	818	378	$51.44	$1.28
20610 Aspiration and/or injection of fluid from large joint	480	331	$214.43	$69.43
73560 X-ray of knee, 1-2 views	246	231	$120.30	$34.68
73502 X-ray of hip, 2-3 views	170	124	$136.00	$46.80
73562 X-ray of knee, 3 views	155	115	$139.32	$40.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$324.83	$112.52
72100 X-ray of lower and sacral spine, 2-3 views	114	112	$115.00	$39.89
72170 X-ray of pelvis, 1-2 views	71	70	$85.89	$27.68
73030 X-ray of shoulder, minimum of 2 views	71	65	$104.23	$34.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	42	$330.00	$130.40
20605 Aspiration and/or injection of medium joint or joint capsule	34	29	$160.00	$54.67
85610 Blood test, clotting time	32	24	$10.00	$4.29
27447 Replacement of knee joint, both sides of knee	23	21	$4222.83	$1304.25
73070 X-ray of elbow, 2 views	19	12	$86.00	$29.47
20600 Aspiration and/or injection of fluid from small joint	19	15	$187.63	$53.96
27130 Replacement of thigh bone and hip joint with prosthesis	17	15	$4188.00	$1305.92
73521 X-ray of both hips, 2 views	16	15	$135.00	$41.63
72040 X-ray of upper spine, 2-3 views	14	14	$115.00	$39.90
73630 X-ray of foot, minimum of 3 views	13	12	$106.62	$32.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$60.00	$53.07
73130 X-ray of hand, minimum of 3 views	11	11	$133.64	$36.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,262	674	$225.93	$75.46
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	896	372	$45.44	$1.44
20610 Aspiration and/or injection of fluid from large joint	512	335	$216.91	$67.15
73560 X-ray of knee, 1-2 views	269	250	$106.06	$33.66
73562 X-ray of knee, 3 views	184	132	$123.50	$39.40
72100 X-ray of lower and sacral spine, 2-3 views	153	152	$114.66	$38.36
73502 X-ray of hip, 2-3 views	151	124	$133.51	$45.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	146	146	$320.89	$108.08
73030 X-ray of shoulder, minimum of 2 views	79	72	$99.96	$33.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	69	$327.69	$109.80
72170 X-ray of pelvis, 1-2 views	55	55	$87.37	$28.69
20600 Aspiration and/or injection of fluid from small joint	39	29	$181.03	$51.80
27447 Replacement of knee joint, both sides of knee	38	38	$4124.74	$1391.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	30	$60.00	$53.68
85610 Blood test, clotting time	30	23	$10.12	$4.22
73110 X-ray of wrist, minimum of 3 views	25	12	$115.48	$39.04
20605 Aspiration and/or injection of medium joint or joint capsule	24	19	$165.94	$50.00
73130 X-ray of hand, minimum of 3 views	22	21	$116.59	$35.18
73070 X-ray of elbow, 2 views	21	18	$81.76	$28.70
72040 X-ray of upper spine, 2-3 views	18	18	$113.89	$38.39
73630 X-ray of foot, minimum of 3 views	16	15	$92.63	$33.00
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$4171.60	$1308.81
20550 Injection into tendon or ligament	14	13	$180.00	$51.92
73610 X-ray of ankle, minimum of 3 views	14	11	$106.00	$32.68
73521 X-ray of both hips, 2 views	13	13	$138.46	$40.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,935	900	$214.87	$73.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,246	492	$36.56	$1.57
20610 Aspiration and/or injection of fluid from large joint	700	438	$202.74	$63.32
73560 X-ray of knee, 1-2 views	397	364	$76.30	$31.92
73562 X-ray of knee, 3 views	248	174	$91.11	$36.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	206	206	$320.05	$107.08
72100 X-ray of lower and sacral spine, 2-3 views	188	186	$109.63	$35.96
72170 X-ray of pelvis, 1-2 views	166	159	$89.98	$32.24
73502 X-ray of hip, 2-3 views	136	86	$123.00	$40.83
73030 X-ray of shoulder, minimum of 2 views	133	107	$67.93	$30.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	101	$318.11	$107.17
85610 Blood test, clotting time	69	43	$10.07	$4.28
27447 Replacement of knee joint, both sides of knee	55	55	$4060.00	$1367.07
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	52	52	$60.00	$52.70
20600 Aspiration and/or injection of fluid from small joint	48	38	$166.15	$51.00
73130 X-ray of hand, minimum of 3 views	30	23	$113.33	$33.00
73610 X-ray of ankle, minimum of 3 views	29	17	$105.00	$32.96
73110 X-ray of wrist, minimum of 3 views	24	13	$115.00	$36.12
20605 Aspiration and/or injection of medium joint or joint capsule	24	22	$150.00	$48.49
72040 X-ray of upper spine, 2-3 views	21	21	$110.00	$36.14
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$4065.00	$1355.38
73070 X-ray of elbow, 2 views	19	18	$60.00	$26.65
20550 Injection into tendon or ligament	18	17	$175.00	$47.23
73521 X-ray of both hips, 2 views	17	12	$148.24	$34.14
73630 X-ray of foot, minimum of 3 views	16	15	$65.00	$30.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$605.00	$200.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,054	986	$214.86	$71.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	982	577	$16.79	$1.77
20610 Aspiration and/or injection of fluid from large joint	795	520	$204.98	$63.58
73560 X-ray of knee, 1-2 views	392	350	$75.94	$30.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	301	301	$319.65	$106.87
73562 X-ray of knee, 3 views	235	151	$90.21	$35.37
72100 X-ray of lower and sacral spine, 2-3 views	195	189	$110.00	$34.37
73502 X-ray of hip, 2-3 views	173	120	$123.00	$40.27
73030 X-ray of shoulder, minimum of 2 views	163	141	$70.18	$28.54
72170 X-ray of pelvis, 1-2 views	130	123	$90.00	$31.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	107	$320.00	$106.34
85610 Blood test, clotting time	102	60	$10.00	$4.75
27447 Replacement of knee joint, both sides of knee	52	51	$4060.00	$1365.61
20600 Aspiration and/or injection of fluid from small joint	46	38	$154.46	$43.09
20605 Aspiration and/or injection of medium joint or joint capsule	32	26	$164.06	$49.04
73070 X-ray of elbow, 2 views	27	23	$60.00	$26.97
73521 X-ray of both hips, 2 views	25	19	$129.72	$33.76
73110 X-ray of wrist, minimum of 3 views	24	13	$115.00	$33.53
73130 X-ray of hand, minimum of 3 views	23	17	$113.04	$30.52
20550 Injection into tendon or ligament	22	21	$190.91	$52.86
27130 Replacement of thigh bone and hip joint with prosthesis	21	20	$4065.00	$1366.71
72040 X-ray of upper spine, 2-3 views	21	21	$110.00	$32.91
73552 X-ray of thigh bone, minimum 2 views	18	11	$95.00	$30.02
73721 Mri scan of leg joint without contrast	12	12	$800.00	$172.93
73630 X-ray of foot, minimum of 3 views	11	11	$65.00	$29.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,001	974	$214.79	$71.88
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,019	553	$15.53	$1.80
20610 Aspiration and/or injection of fluid from large joint	788	490	$194.87	$60.32
73560 X-ray of knee, 1-2 views	397	342	$68.93	$30.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	298	298	$319.65	$106.28
73562 X-ray of knee, 3 views	244	150	$83.61	$34.97
72100 X-ray of lower and sacral spine, 2-3 views	230	224	$110.00	$34.24
73030 X-ray of shoulder, minimum of 2 views	181	151	$66.80	$28.34
73502 X-ray of hip, 2-3 views	168	101	$123.00	$40.19
72170 X-ray of pelvis, 1-2 views	167	163	$90.00	$31.35
85610 Blood test, clotting time	115	55	$10.00	$5.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	97	$320.00	$105.94
20600 Aspiration and/or injection of fluid from small joint	55	37	$150.27	$42.01
20605 Aspiration and/or injection of medium joint or joint capsule	47	36	$150.00	$49.81
27447 Replacement of knee joint, both sides of knee	44	42	$4060.00	$1354.02
72040 X-ray of upper spine, 2-3 views	29	28	$107.34	$32.40
20550 Injection into tendon or ligament	26	20	$188.46	$47.74
73110 X-ray of wrist, minimum of 3 views	26	15	$115.00	$34.86
73130 X-ray of hand, minimum of 3 views	24	22	$112.50	$30.29
27130 Replacement of thigh bone and hip joint with prosthesis	23	22	$4065.00	$1354.61
73070 X-ray of elbow, 2 views	23	17	$60.00	$26.80
73521 X-ray of both hips, 2 views	22	18	$120.00	$39.00
73630 X-ray of foot, minimum of 3 views	14	13	$65.00	$28.56
73721 Mri scan of leg joint without contrast	13	12	$800.00	$170.36
73610 X-ray of ankle, minimum of 3 views	13	12	$105.00	$30.97

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License VA 0101232270

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010018234 (VA)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Evie Burnet , PT

Physical Therapist

NPI 1205030186

Physical Therapist

Dr. Tiffany Crawford , DPT

Physical Therapist

NPI 1215235817

Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 26, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 26, 2007

Registered at 5208 MONTICELLO AVE, SUITE 180, WILLIAMSBURG, VA 231888212 (Tel: 7572064001)

📍

Updated Business Mailing Address October 26, 2007

Registered at 5208 MONTICELLO AVE, SUITE 180, WILLIAMSBURG, VA 231888212 (Tel: 7572064001)

👤

Provider Name / Credentials Updated October 26, 2007

Recorded as JOHN MCCARTHY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 26, 2007

Orthopaedic Surgery (License #0101232270 in VA)

🟢

Initial NPI Registration & Enumeration February 22, 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: 1316912454

Entity Type:

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

Enumeration Date: February 22, 2006

Last Update: October 26, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5208 Monticello Ave, Suite 180

Williamsburg, VA 231888212

Phone: 7572064001

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

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