2026 NPPES data Foot & Ankle Surgery Podiatrist NPI 1396265666 DPM
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Lauren McCarthy, DPM

Foot & Ankle Surgery Podiatrist in Jerseyville, Illinois.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,134 in Foot & Ankle Surgery Podiatrist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
435
Medicare Part D claims · 180 beneficiaries · Foot & Ankle Surgery Podiatrist avg: 333
MIPS score
95/100
▲ 12 pts above national avg 83.5 · Exceptional
Industry payments
$5.0K
48 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Lauren McCarthy, DPM reported a CMS MIPS final score of 95/100 - above the 83.5 national average - and filed 435 Medicare Part D claims in 2024.

95/100
MIPS score · +12 vs avg
435
Part D claims, 2024
$5.0K
industry payments (Sunshine Act)
≥78th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Lauren McCarthy, DPM

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1396265666), first enumerated 06/27/2017.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 435 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 95/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $5.0K in reported industry payments (48 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Lauren McCarthy, DPM's individual license status. Verify directly with the state medical board.

    Source: IDFPR annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1396265666 · Foot & Ankle Surgery Podiatrist

NPI-10 · ENUM-RECENT · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1396265666
  • ENUM-RECENT 2017
  • TAX-MID 9K Foot &
  • MIPS-ELITE 95/100
  • RX-LIGHT 435
  • BOOK-LIGHT 545 in Illinois
  • PHOTO-FINISH Carl Beecroft · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Lauren McCarthy, DPM's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

95 ≥ 78th percentile 78% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Lauren McCarthy, DPM sits

This provider among foot & ankle surgery podiatrist peers

Across the 2,542 foot & ankle surgery podiatrist providers who report both Medicare Part D prescribing and a MIPS quality score, Lauren McCarthy, DPM writes more Part D claims than 77% of them and scores higher on MIPS quality than 84% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 60Lauren McCarthy, DPM, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 84
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one foot & ankle surgery podiatrist peer from a representative sample of 60; the gold marker is Lauren McCarthy, DPM. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Lauren McCarthy, DPM?

High performer (top quartile)

NPI registry status

Active

Issued 06/27/2017

NPI 1396265666

Primary specialty

Foot & Ankle Surgery Podiatrist

Mid-sized

9,134 US NPIs in this specialty

Medicare Part D claims

435 31% vs specialty avg

2024 prescription claims

Specialty avg: 333

MIPS final score

95/100 11.5 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Illinois

How Foot & Ankle Surgery Podiatrist compares to other specialties among Illinois providers

Illinois providers
Clinical Social Worker5.2%Physical Therapist4.9%Mental Health Counselor4.5%Speech-Language Pathologist4.2%Student in an Organized Heal…4.1%Pharmacist4.1%Foot & Ankle Surgery Podiatr…0.2%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance, MIPS

Lauren McCarthy, DPM's 2023 MIPS final score plotted against the Foot & Ankle Surgery Podiatrist national average

High performer (top quartile)
MIPS Final Score
95/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%95%
MIPS final score (Foot & Ankle Surgery Podiatrist) - 95/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

400 MAPLE SUMMIT RD SUITE 200
Jerseyville, IL 62052

Provider Details

NPI 1396265666
Specialty Foot & Ankle Surgery Podiatrist
Credentials DPM
Gender Female
NPI Issued 06/27/2017

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

95.012
Final Score
Measured-score avg: 83.5
80.0239
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Lauren McCarthy, DPM bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Jersey Community Hospital
★★★☆☆ 3/5
Jerseyville, IL
Acute Care Hospitals
CMS CCN: 140059

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Lauren McCarthy, DPM. Source: openpaymentsdata.cms.gov.

Total received

$5.0K

Largest payer

Organogenesis Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Illinois IDFPR 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 - they are NOT specific to Lauren McCarthy, DPM. To verify Lauren McCarthy, DPM's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

435
Total Claims
$14K
Total Drug Cost
180
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
527.933
Total Day Supply
11,580
Generic Drug Cost
$5K
Opioid Claims
36 (8.3% rate)
Antibiotic Claims
93

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.53
Gender Split
59% female / 41% male
Age Distribution
<65: 32, 65-74: 87, 75-84: 44, 85+: 17

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Lauren McCarthy, DPM prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Gabapentin
145
Prednisone
48
Doxycycline Hyclate
39
Meloxicam
28
Triamcinolone Acetonide
27
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
26
Levofloxacin
23
Santyl
Collagenase Clostridium Hist.
15
Amoxicillin
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Foot & Ankle Surgery Podiatrist Overview

How Lauren McCarthy, DPM fits within the Foot & Ankle Surgery Podiatrist landscape nationally.

9,134
Foot & Ankle Surgery Podiatrist Providers in US
53
States with Foot & Ankle Surgery Podiatrist
333
Avg Claims per Provider

Lauren McCarthy, DPM's 435 claims are above the specialty average of 333.

Nationwide Foot & Ankle Surgery Podiatrist peers with similar MIPS or enrollment year

Two federal-record peer sets for McCarthy, both outside Illinois so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (95 here).

Same NPPES enumeration year (2017)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Foot & Ankle Surgery Podiatrist Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as McCarthy.

One of 545 Foot & Ankle Surgery Podiatrist providers enrolled in Illinois, 5 are shown here.

Compare Foot & Ankle Surgery Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Lauren McCarthy, DPM's specialty?
Lauren McCarthy, DPM specializes in Foot & Ankle Surgery Podiatrist and practices in Jerseyville, Illinois. Credentials: DPM.
How much does Lauren McCarthy, DPM prescribe under Medicare Part D?
In 2024, Lauren McCarthy, DPM wrote 435 Medicare Part D claims totaling $14K in drug costs for 180 beneficiaries.
What is Lauren McCarthy, DPM's Medicare quality score?
Lauren McCarthy, DPM has a CMS MIPS Final Score of 95/100 (Quality: 80). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Lauren McCarthy, DPM located?
Lauren McCarthy, DPM is located at 400 MAPLE SUMMIT RD SUITE 200, Jerseyville, IL, 62052. Phone: (618) 498-8362.
What is Lauren McCarthy, DPM's NPI number?
Lauren McCarthy, DPM's National Provider Identifier (NPI) is 1396265666, issued on 06/27/2017.
Does Lauren McCarthy, DPM prescribe opioids?
Yes, Lauren McCarthy, DPM had 36 opioid claims in 2024 with an opioid prescribing rate of 8.3%.
How many Foot & Ankle Surgery Podiatrist providers are there in the US?
There are 9,134 Foot & Ankle Surgery Podiatrist providers across 53 states in the US. The average Foot & Ankle Surgery Podiatrist provider writes 333 Medicare Part D claims per year.
What drugs does Lauren McCarthy, DPM prescribe most often?
Based on 2024 Medicare Part D data, Lauren McCarthy, DPM's most frequently prescribed drugs include Gabapentin, Prednisone, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lauren McCarthy, DPM accept Medicare?
Lauren McCarthy, DPM appears in CMS Medicare data with 435 Part D claims and 180 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lauren McCarthy, DPM's credentials?
Lauren McCarthy, DPM's NPI is 1396265666 with credentials DPM. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.