Kevin James McCarthy, M.D.
Orthopaedic Surgery Physician · O Fallon, IL
Kevin James McCarthy, M.D. is an orthopaedic surgery physician with a practice address in O Fallon, Illinois, and NPI 1356579684, issued on Jun 25, 2009. Check the license (Illinois 036138387, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Kevin James McCarthy
- Credential
- M.D.
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License numbers
- 036138387 IL
94-07207 KS
Self-reported in NPPES; status is on the state search - Practice location
- 670 Pierce Blvd, O Fallon, IL 62269
- Phone
- (618) 206-2094
- Enumerated
- Jun 25, 2009
- Record last updated
- Jan 6, 2022
- Medicare enrollment
- Enrolled (PECOS I20150702002308); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 995 in Illinois → Look up another NPI →
Also registered at 670 Pierce Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Saba Bajwa, MDPediatrics Physician1487113478
- Amy Buck, APNFamily Nurse Practitioner1053587402
- Kimberly Burgess, AGNP-CNurse Practitioner1164956066
- Richard Derby, MDSports Medicine (Family Medicine) Physician1295720845
- Shaelin Heiman, PA-CPhysician Assistant1336832880
- Kody HindmanPhysician Assistant1295378610
Verify Kevin James McCarthy in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036138387Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
34% fewer Medicare Part D claims than the average orthopaedic surgery physician in 2024
228 Medicare Part D claims for 120 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 50 claims were for opioids.
Most prescribed
- Amoxicillin105 claims
- Clindamycin Hcl26 claims
- Oxycodone-Acetaminophen20 claims
- Tramadol Hcl17 claims
- Hydrocodone-Acetaminophen13 claims
- Naproxen12 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): 94.6 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $452.97
7 payments; by number, the most common kind was food and beverage; the largest payer was DePuy Synthes Sales Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Hshs Medical Group IncOfallon, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kevin James McCarthy among 995 orthopaedic surgery physician records in Illinois
Kevin James McCarthy, M.D. is one of 995 orthopaedic surgery physician records with a practice address in Illinois. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 62% of them.
- NPI issued2009 · 62% of these records are older, 36% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 56% of these records are
- Graduated2009 · median 2001 among the 556 with a school on file
- Record last updated2022 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthopaedic Surgery Physician providers in Illinois
There are 995 orthopaedic surgery physician records in Illinois.
All 995 in Illinois → Every provider in O Fallon → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- David Shervin, M.D.O Fallon, IL 622691366882227
- Swastik Sinha, M.D.Shiloh, IL 622691013163120
- Donald Weimer, M.D.O Fallon, IL 622691932152980
- Kevin Koth, D.O.Highland, IL 622491972798049
- Felix Ungacta, MDHighland, IL 622491669568754
- George Crickard, MDQuincy, IL 623011447239165
- Adam Derhake, MDQuincy, IL 623011679741151
- Christopher Dupuis, M.D.Quincy, IL 623011447222385
Common questions
What is Kevin James McCarthy, M.D.'s NPI number?
Kevin James McCarthy, M.D.'s National Provider Identifier (NPI) is 1356579684, issued on Jun 25, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Kevin James McCarthy, M.D. located?
The NPPES record lists a practice address at 670 Pierce Blvd, O Fallon, IL, 62269. Phone: (618) 206-2094. Providers update this record themselves, so call before visiting.
How can I verify Kevin James McCarthy, M.D.'s license?
NPPES lists Illinois license number 036138387, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Kevin James McCarthy, M.D. prescribe under Medicare Part D?
In 2024, Kevin James McCarthy, M.D. had 228 Medicare Part D claims for 120 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
What is Kevin James McCarthy, M.D.'s MIPS final score?
The 2023 MIPS final score is 94.6 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.