DR. JUSTIN DANIEL MACCARTHY (MD) – Otolaryngology Physician, NPI 1881636256
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JUSTIN DANIEL MACCARTHY (MD)
Du Bois, Pawnee County, Nebraska, United States
DU BOIS, PA 158011440
Phone: (814) 768-2822
Fax: (814) 768-2821
Type: Mailing
807, Turnpike Avenue, Plymptonville, Clearfield, Clearfield County, Pennsylvania, 16830, United States
SUITE 230
CLEARFIELD, PA 168301238
Phone: (814) 768-2822
Fax: (814) 768-2821
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2006-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061207000001 | I | Otolaryngology | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 46 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 30 | 30 | $0 |
| 69210 | Removal of impacted ear wax | 25 | 23 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 15801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | PA | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 309 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Plastic And Reconstructive Surgery, General Surgery | PA | |
| P O D I A T R Y | PA | |
| Physician Assistant | PA |
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