NPPES file of Aug 9, 2026

James Edward McCarthy, M.D.

Plastic Surgery Physician · Loveland, CO

James Edward McCarthy, M.D. is a plastic surgery physician with a practice address in Loveland, Colorado, and NPI 1417174608, issued on Apr 19, 2007. Check the license (Colorado 0056618, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417174608
Name
James Edward McCarthy
Credential
M.D.
Primary taxonomy
Plastic Surgery Physician 208200000X
License numbers
0056618 CO
MD216630 OR
Self-reported in NPPES; status is on the state search
Practice location
2500 Rocky Mountain Ave Ste 330, Loveland, CO 80538
Phone
(970) 493-8800
Enumerated
Apr 19, 2007
Record last updated
Jul 28, 2023
Medicare enrollment
Enrolled (PECOS I20230809002428); accepts Medicare assignment
Medical or professional school
Geisel School Of Medicine At Dartmouth, 2007
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2500 Rocky Mountain Ave Ste 330

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lisa Block, M.D.Plastic and Reconstructive Surgery Physician1942645288
  2. Christian Pariseau, MDPediatrics Physician1043345309
  3. Pie PichetsurnthornInfectious Disease Physician1760049100
  4. Katherine ShaumPlastic Surgery Physician1659767309

Verify James Edward McCarthy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersColorado Medical Board
    Search for license 0056618
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Colorado license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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39% fewer Medicare Part D claims than the average plastic surgery physician in 2024

57 Medicare Part D claims for 32 beneficiaries, against an average of 93 among the 3,527 providers of this specialty who prescribed in Part D.

  1. James McCarthy57
  2. Specialty average93

Most prescribed

  1. Gabapentin20 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 97.6 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score86.5
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $56.08

1 payment: food and beverage; the largest payer was Tactile Systems Technology Inc. The 3,683 providers of this specialty with any payment received $5,316.31 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James McCarthy$56.08
  2. Specialty average$5,316.31

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Legacy Clinics LLCPortland, OR

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James Edward McCarthy among 83 plastic surgery physician records in Colorado

James Edward McCarthy, M.D. is one of 83 plastic surgery physician records with a practice address in Colorado. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 48% of them.

  • NPI issued2007 · 48% of these records are older, 33% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 36% of these records are
  • Graduated2007 · median 2004 among the 30 with a school on file
  • Record last updated2023 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208200000X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Plastic Surgery Physician providers in Colorado

There are 83 plastic surgery physician records in Colorado.

The 8 plastic surgery physician records with the nearest ZIP codes

  1. Meng Guo, M.D.Loveland, CO 805381689105397
  2. Warren Schutte, MDLoveland, CO 805381437370756
  3. Katherine ShaumLoveland, CO 805381659767309
  4. Allister Boustred, MDFort Collins, CO 805281538125083
  5. Jeffrey Chapman, MDFort Collins, CO 805281184687469
  6. Christopher Tsoi, MDFort Collins, CO 805281689637183
  7. Blake Faust, MDWindsor, CO 805501790763662
  8. Stanley Morgan, MDSteamboat Springs, CO 804881013110170

Common questions

What is James Edward McCarthy, M.D.'s NPI number?

James Edward McCarthy, M.D.'s National Provider Identifier (NPI) is 1417174608, issued on Apr 19, 2007. An NPI identifies a provider in billing; it is not a license.

Where is James Edward McCarthy, M.D. located?

The NPPES record lists a practice address at 2500 Rocky Mountain Ave Ste 330, Loveland, CO, 80538. Phone: (970) 493-8800. Providers update this record themselves, so call before visiting.

How can I verify James Edward McCarthy, M.D.'s license?

NPPES lists Colorado license number 0056618, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James Edward McCarthy, M.D. prescribe under Medicare Part D?

In 2024, James Edward McCarthy, M.D. had 57 Medicare Part D claims for 32 beneficiaries; the average among plastic surgery physician prescribers was 93. Part D covers Medicare prescriptions only.

What is James Edward McCarthy, M.D.'s MIPS final score?

The 2023 MIPS final score is 97.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.