NPPES file of Aug 9, 2026

Justin Daniel Maccarthy, MD

Otolaryngology Physician · Clearfield, PA

Justin Daniel Maccarthy, MD is an otolaryngology physician with a practice address in Clearfield, Pennsylvania, and NPI 1881636256, issued on Jun 12, 2006. Check the license (Pennsylvania MD430012, as entered in NPPES) on the Pennsylvania Department of State (PALS); 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
1881636256
Name
Justin Daniel Maccarthy
Credential
MD
Primary taxonomy
Otolaryngology Physician 207Y00000X
License numbers
MD430012 PA
9400908 NC
Self-reported in NPPES; status is on the state search
Practice location
807 Turnpike Ave, Clearfield, PA 16830
Phone
(814) 768-2822
Enumerated
Jun 12, 2006
Record last updated
Nov 28, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(814) 768-2821
Medicaid ID
1017462840001 PA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 807 Turnpike Ave

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

  1. Thomas Carnevale, M.D.Obstetrics & Gynecology Physician1740216316
  2. Michael Dotsey, M.D.Surgery Physician1366427635
  3. Jenny Mays, CRNPWomen's Health Nurse Practitioner1851560007
  4. Rodolfo Polintan, M.D.Orthopaedic Surgery Physician1205811494

Verify Justin Daniel Maccarthy in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD430012
    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 Pennsylvania license search

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89% fewer Medicare Part D claims than the average otolaryngology physician in 2024

62 Medicare Part D claims for 30 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Justin Maccarthy62
  2. Specialty average541

Most prescribed

  1. Ofloxacin23 claims
  2. Fluticasone Propionate15 claims
  3. Esomeprazole Magnesium12 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 practice group's MIPS final score for 2023 (Medicare payment program): 73.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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 score69.8
  2. Costout of 100 · 30%42.3
  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, group reporting; category weights for 2023 (qpp.cms.gov).

Justin Daniel Maccarthy among 531 otolaryngology physician records in Pennsylvania

Justin Daniel Maccarthy, MD is one of 531 otolaryngology physician records with a practice address in Pennsylvania. 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 2006, is newer than 10% of them.

  • NPI issued2006 · 10% of these records are older, 53% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileNo · 67% of these records are
  • Record last updated2014 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Otolaryngology Physician providers in Pennsylvania

There are 531 otolaryngology physician records in Pennsylvania.

The 8 otolaryngology physician records with the nearest ZIP codes

  1. Laurie Brigandi, D.O.State College, PA 168031386664902
  2. Brent Driskill, M.D.State College, PA 168011477612372
  3. Robert Hunter, MDState College, PA 168011245207232
  4. Jesse Jennings, MDState College, PA 168011659782795
  5. Yi Kao, MDState College, PA 168011568488500
  6. Ewing Tibbels, M.D.State College, PA 168011568557239
  7. Henry Cramer, M.D.Port Matilda, PA 168701801802061
  8. Evan Harlor, D.O.Port Matilda, PA 168701154595619

Common questions

What is Justin Daniel Maccarthy, MD's NPI number?

Justin Daniel Maccarthy, MD's National Provider Identifier (NPI) is 1881636256, issued on Jun 12, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Justin Daniel Maccarthy, MD located?

The NPPES record lists a practice address at 807 Turnpike Ave, Clearfield, PA, 16830. Phone: (814) 768-2822. Providers update this record themselves, so call before visiting.

How can I verify Justin Daniel Maccarthy, MD's license?

NPPES lists Pennsylvania license number MD430012, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Justin Daniel Maccarthy, MD prescribe under Medicare Part D?

In 2024, Justin Daniel Maccarthy, MD had 62 Medicare Part D claims for 30 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.

What is Justin Daniel Maccarthy, MD's MIPS final score?

The 2023 MIPS final score is 73.6 of 100, reported for the practice group. 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.