KATHLEEN M MCCARTHY N.P.
NPI 1649292855
Nurse Practitioner - Pediatrics in Buffalo, NY
NPI Status: Active since July 24, 2006
Contact Information
515 ABBOTT RD
BUFFALO, NY
ZIP 14220
Phone: (716) 828-2775
Fax: (716) 828-3473
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- PECOS Enrolled
About KATHLEEN MCCARTHY
This page provides the complete NPI Profile along with additional information for Kathleen Mccarthy, a provider established in Buffalo, New York with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1649292855 assigned on July 2006. The practitioner's primary taxonomy code is 363LP0200X with license number 380270 (NY). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1649292855
- Provider Name
- KATHLEEN M MCCARTHY N.P.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 515 ABBOTT RD BUFFALO, NY 14220
- Location Phone
- (716) 828-2775
- Location Fax
- (716) 828-3473
- Mailing Address
- 515 ABBOTT RD BUFFALO, NY 14220
- Mailing Phone
- (716) 828-2775
- Mailing Fax
- (716) 828-3473
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-24-2006
- Last Update Date
- 12-07-2011
- Code Navigator
A nurse practitioner (NP) like Kathleen Mccarthy is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 380270
- License State
- NY
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00026553102 | OTHER (01) | NY | UNIVERA |
| 9512021 | OTHER (01) | NY | INDEPENDENT HEALTH |
| 000560107001 | OTHER (01) | NY | BLUE CROSS OF WNY |
| 040426001221 | OTHER (01) | NY | FIDELIS |
Medicare Participation & PECOS Enrollment Status
Kathleen Mccarthy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 14220 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.93
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.08
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $24.27
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 2 | 9 | 2 | 8 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 9 | 4 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 9 + 4 + 8 + 1 + 0 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1649292855 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356342083 | DR. MOHAMMAD REZA SAMIE MD Individual | Psychiatry & Neurology (Neurology) | 515 ABBOTT RD STE 400 BUFFALO, NY 14220 (716) 828-3400 |
| 1649232497 | DR. MICHAEL SANSANO JR. M.D. Individual | Ophthalmology | 515 ABBOTT RD SUITE 206 BUFFALO, NY 14220 (716) 828-3460 |
| 1760401236 | DR. MICHAEL C. SNYDERMAN M.D. Individual | Internal Medicine (Hematology & Oncology) | 515 ABBOTT RD SUITE 102 BUFFALO, NY 14220 (716) 824-5588 |
| 1710901509 | MARY ELIZABETH WALTER N.P. Individual | Nurse Practitioner | 515 ABBOTT RD STE 302 BUFFALO, NY 14220 (716) 828-3520 |
| 1821012683 | MARY L SCHUMER N.P. Individual | Nurse Practitioner (Obstetrics & Gynecology) | 515 ABBOTT RD STE 304 BUFFALO, NY 14220 (716) 828-3520 |
| 1720183700 | MARIAN MEDICAL PHARMACY INC Organization | Pharmacy (Community/Retail Pharmacy) | 515 ABBOTT RD BUFFALO, NY 14220 (716) 823-7374 |
| 1265579536 | DR. ANTHONY J BUSCAGLIA MD, FCCP Individual | Internal Medicine (Pulmonary Disease) | 515 ABBOTT RD SUITE 102 BUFFALO, NY 14220 (716) 824-0266 |
| 1568687648 | MRS. CARRIE MARTINE JONES NP Individual | Nurse Practitioner (Adult Health) | 515 ABBOTT RD SUITE 306 BUFFALO, NY 14220 (716) 828-3752 |
| 1568645810 | AMENEH HABIR WHNP Individual | Nurse Practitioner (Women's Health) | 515 ABBOTT RD SUTIE 302 BUFFALO, NY 14220 (716) 828-3520 |
| 1326211285 | MRS. MARCIA ANN WARNER RPH Individual | Pharmacist | 515 ABBOTT RD SUITE 100 BUFFALO, NY 14220 (716) 823-7374 |
| 1164758538 | MICHAEL SANSANO JR MD PC Organization | Ophthalmology | 515 ABBOTT RD SUITE 206 BUFFALO, NY 14220 (716) 828-3460 |
| 1093036659 | SERRIE C. LICO MD, CARDIOVASCULAR & THORACIC SURGERY PC Organization | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 515 ABBOTT RD SUITE 101 BUFFALO, NY 14220 (716) 821-7714 |
| 1841631389 | TONI MARIE VENTRILLA RPA-C Individual | Physician Assistant (Surgical) | 515 ABBOTT RD MARIAN PROFESSIONAL BLDG. STE. 101 BUFFALO, NY 14220 (716) 923-9650 |
| 1093706657 | DR. CHRISTOPHER R SPRINGER MD Individual | Pediatrics | 515 ABBOTT RD SUITE 304 BUFFALO, NY 14220 (716) 995-8801 |
| 1073568358 | BARBARA S STOUTER MD Individual | Pediatrics | 515 ABBOTT RD SUITE 304 BUFFALO, NY 14220 (716) 995-8801 |
| 1649202342 | LAURIE KASNICKI M.D. Individual | Pediatrics | 515 ABBOTT RD SUITE 304 BUFFALO, NY 14220 (716) 995-8801 |
| 1922382068 | JOHN J CAI, MD, PLLC Organization | Internal Medicine (Clinical Cardiac Electrophysiology) | 515 ABBOTT RD SUITE 310 BUFFALO, NY 14220 (716) 844-8754 |
| 1750798625 | MS. SHANNON MARIE O'BRIEN ANP Individual | Nurse Practitioner (Adult Health) | 515 ABBOTT RD BUFFALO, NY 14220 (716) 828-2478 |
| 1760867121 | MRS. ANDREA NICOLE PERRY Individual | Nurse Practitioner (Family) | 515 ABBOTT RD SUITE 25 BUFFALO, NY 14220 (716) 828-3123 |
| 1104861178 | STEPHEN W DOWNING MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 515 ABBOTT RD SUITE 310 BUFFALO, NY 14220 (716) 923-9650 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649292855, enumerated in the NPI registry as an "individual" on July 24, 2006
The provider is located at 515 Abbott Rd Buffalo, Ny 14220 and the phone number is (716) 828-2775
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.93 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.08 and an average copayment of 24.27. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.