MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083900138

MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA) is a healthcare provider. based in Lansing, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704252029 (MI). The NPI Number for MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA) is 1083900138

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA)
NPI
1083900138
Phone
(517) 975-7295
Address
401 W GREENLAWN AVE
Enumeration Date
27 June 2011
Last Update Date
27 June 2011

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
5179756000
Graduation Year
2011 (15 years ago)
PAC ID
7719157874
Group Practice PAC ID
8628975968
Professional Enrollment ID
I20110826000567
Address ID
MI489108394LA2900XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA)

  • 401 W GREENLAWN AVE

    LANSING, MI 489102819

    Phone: (517) 975-7295

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-03-08 • Largest payer in this snapshot: Biosense Webster, Inc. ($20).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110826000567ICertified Registered Nurse Anesthetist (Crna)MITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1717$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 48910)

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Provider's Procedures

MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMI01402Anesthesia for open or endoscopic total knee joint replacement1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628975968View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI

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Frequently asked questions

How is MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA) identified in CMS data?
CMS-hosted NPPES data lists MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA) with NPI 1083900138.
Is MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA) listed as active for patients and plans?
The listing shows MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA) as active in the NPI system.
What is MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA)'s specialty?
The listing groups MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA)?
MR. SAMUEL MICHAEL-GAINES MCCARTHY (CRNA)'s geographic hint is Lansing, Michigan in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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