Neil Denis Mccarthy , PA-C
Physician Assistant โข Melrose, MA
585 Lebanon St
Melrose, MA 021763298
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on September 21, 2019; this date does not establish years in practice.
-
Published CMS data list 531 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99285 โ Emergency department visit with high level of medical decision making: 161 service units.
- 99284 โ Emergency department visit with moderate level of medical decision making: 109 service units.
- 99214 โ Established patient outpatient office visit: 55 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 10 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 84 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Cephalexin โ 36 prescription fills, including refills.
- Prednisone โ 20 prescription fills, including refills.
- Doxycycline Hyclate โ 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Melrose, MA (2024, 19 clinicians with data). Median for this group: 443. Middle half: 339 to 514.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 660 in 2020 to 531 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
585 Lebanon St
Melrose, MA 021763298
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Hallmark Health Urgent Care Physicians Llc; Patriot Urgent Care Professionals Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2019
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
477 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $58,748 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $44,219 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
84 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$429 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
7 years (graduated 2019)
CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Neil Mccarthy has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Neil Mccarthy as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Melrose and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Melrose, MA (2024, 19 clinicians with data). Median for this group: 443. Middle half: 339 to 514.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: 222. Middle half: 79 to 552.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Melrose, MA (2024, 19 clinicians with data). Median for this group: $41,298. Middle half: $32,713 to $46,638.
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $19,073. Middle half: $6,686 to $39,911.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Melrose, MA (2024, 19 clinicians with data). Median for this group: $31,558. Middle half: $25,379 to $34,915.
A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,142 clinicians with data). Median for this group: $14,188. Middle half: $5,025 to $29,930.
Medicare Part D prescriptions
Fewer Part D prescriptions than 70% of clinicians listed under Physician Assistant in Melrose, MA (2024, 18 clinicians with data). Median for this group: 103. Middle half: 62 to 125.
Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: 175. Middle half: 52 to 564.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Melrose, MA (2024, 18 clinicians with data). Median for this group: $785. Middle half: $391 to $1,603.
A lower Part D drug cost than 75% of clinicians listed under Physician Assistant in Massachusetts (2024, 2,255 clinicians with data). Median for this group: $2,484. Middle half: $458 to $50,541.
25 active clinicians are listed under Physician Assistant with a practice address in Melrose, MA (4,715 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Melrose
12% of these 25 clinicians have the CMS telehealth indicator.
72% of these 25 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 20% from 660 in 2020 to 531 in 2024.
- 2020: 660
- 2021: 698
- 2022: 641
- 2023: 403
- 2024: 531
-
Medicare-allowed amount
Medicare-allowed amount increased 23% from $47,816 in 2020 to $58,748 in 2024.
- 2020: $47,816
- 2021: $55,570
- 2022: $62,291
- 2023: $41,369
- 2024: $58,748
-
Paid by Medicare
Paid by Medicare increased 16% from $37,961 in 2020 to $44,219 in 2024.
- 2020: $37,961
- 2021: $46,154
- 2022: $50,439
- 2023: $32,350
- 2024: $44,219
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 22% from 69 in 2021 to 84 in 2024.
- 2021: 69
- 2022: 39
- 2023: 107
- 2024: 84
-
30-day fills
30-day fills increased 22% from 69 in 2021 to 84 in 2024.
- 2021: 69
- 2022: 39
- 2023: 108
- 2024: 84
-
Part D drug cost
Part D drug cost went from $447 in 2021 to $429 in 2024.
- 2021: $447
- 2022: $286
- 2023: $707
- 2024: $429
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2019โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99285
Emergency department visit with high level of medical decision making
|
161 | 158 | $1091.00 | $152.29 |
|
99284
Emergency department visit with moderate level of medical decision making
|
109 | 106 | $885.00 | $105.24 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
55 | 52 | $278.00 | $86.71 |
|
93042
Electrocardiogram (ecg) 1 to 3 leads with review by physician only
|
51 | 50 | $45.00 | $5.93 |
|
99291
Critical care, first 30-74 minutes
|
48 | 46 | $1424.00 | $187.32 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
36 | 35 | $181.00 | $58.77 |
|
99283
Emergency department visit with low level of medical decision making
|
26 | 24 | $391.00 | $61.82 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
17 | 17 | $391.00 | $128.79 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
16 | 16 | $462.00 | $119.18 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
12 | 12 | $272.00 | $72.96 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 36 | 261 | $249.19 | 34 |
| Prednisone | Prednisone | 20 | 97 | $42.80 | 20 |
| Doxycycline Hyclate | Doxycycline Hyclate | 16 | 112 | $94.85 | 16 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 12 | 70 | $41.91 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20191111002720
MA
2668804766
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Patriot Urgent Care Professionals Pc
154 Great Rd, Bedford, MA 017302725
Phone: 7814308161
Hallmark Health Urgent Care Physicians Llc
30 New Crossing Rd, Reading, MA 018673270
Phone: 7812135500
Patriot Urgent Care Professionals Pc
4110 Mystic Valley Pkwy, Medford, MA 021556916
Phone: 7744004084
Patriot Urgent Care Professionals Pc
17 White St, Cambridge, MA 021401413
Phone: 7814309161
Patriot Urgent Care Professionals Pc
1019 Trapelo Rd, Waltham, MA 024525002
Phone: 7744004084
Hallmark Health Urgent Care Physicians Llc
170 Governors Ave, Medford, MA 021551643
Phone: 7819793000
Patriot Urgent Care Professionals Pc
1030 Main St, Waltham, MA 024517447
Phone: 7818946900
Patriot Urgent Care Professionals Pc
16 Main St, Stoneham, MA 021803334
Phone: 7812794000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Anesthesiology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
(FNP)FAMILYNURSEP
Internal Medicine
Doctor of Medicine (M.D.)
Anesthesiology
Doctor of Medicine (M.D.)
Physician Assistant
Career & Practice History
NPI enumerated September 21, 2019.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from October 2019 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Melrose
- Emily Wong, PA
- Angelo Pucillo, PA
- Shawn Mccoy
- Abby Canner, PA
- Emilie Iwaszkiewicz
- Elizabeth White, PA
Mailing Address
17 Fayette St Apt 2
Beverly, MA 019155258
Phone: 9787585115