DR. TINA MARIE MCCARTY (O.D.) – Corneal and Contact Management Optometrist, NPI 1720046170

DR. TINA MARIE MCCARTY (O.D.) is a healthcare provider. based in Fridley, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2837 (MN). The NPI Number for DR. TINA MARIE MCCARTY (O.D.) is 1720046170

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. TINA MARIE MCCARTY (O.D.)
NPI
1720046170
Phone
(763) 574-0075
Address
1202 EAST MOORE LAKE DRIVE
Enumeration Date
3 May 2006
Last Update Date
19 February 2010

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7634206981
Graduation Year
2001 (25 years ago)
PAC ID
9739162041
Group Practice PAC ID
3779543962
Professional Enrollment ID
I20040609000157
Address ID
MN553697081MA7884XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for DR. TINA MARIE MCCARTY (O.D.)

  • East Moore Lake Drive, Fridley, Anoka County, Minnesota, 55432, United States

    FRIDLEY, MN 55432

    Phone: (763) 574-0075

    Fax: (763) 574-0594

    Type: Mailing

  • Moore Lake Dr E, Central Avenue Northeast, Fridley, Anoka County, Minnesota, 55432, United States

    FRIDLEY, MN 554325170

    Phone: (763) 574-0075

    Fax: (763) 574-0594

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,682.

Total Amount is formed as General ($1,682) + Research ($0) + Ownership ($0) = $1,682.

Last reported payment date: 2024-10-13 • Largest payer in this snapshot: Alcon Vision LLC ($1,514).

Total Amount

$1,682

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,682

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-13

Latest reported date

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: 2004-06-09

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
I20040609000157IOptometryMNTBD

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
92014Established patient complete exam of visual system103103$0
92250Photography of the retina4545$0
92012Established patient problem focused exam of visual system3330$0
92134Imaging of retina2222$0
99213Established patient office or other outpatient visit, 20-29 minutes1816$0
View full utilization report →

Insurance plans in this area (ZIP 55432)

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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: 3779543962View full group profile
NameSpecialtyState
O P T O M E T R YMN
-MN
O P T O M E T R YCO
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YWA
-MN

Reviews

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Frequently asked questions

What identifier follows DR. TINA MARIE MCCARTY (O.D.) across health systems?
The NPI 1720046170 uniquely identifies DR. TINA MARIE MCCARTY (O.D.) in U.S. healthcare data.
Quick check: is DR. TINA MARIE MCCARTY (O.D.) active?
Public NPPES data shows DR. TINA MARIE MCCARTY (O.D.) with an active NPI status right now.
What services align with DR. TINA MARIE MCCARTY (O.D.)'s listing?
DR. TINA MARIE MCCARTY (O.D.)'s public classification highlights Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TINA MARIE MCCARTY (O.D.)?
DR. TINA MARIE MCCARTY (O.D.) shows a connection to Fridley, Minnesota in registry-derived data.
Why is information missing for DR. TINA MARIE MCCARTY (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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