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2026 NPPES data Adolescent Medicine (Internal Medicine) Physician NPI 1780630822 M.D.
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Ryan McCarthy, M.D.

Adolescent Medicine (Internal Medicine) Physician in Martinsburg, West Virginia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 375 in Adolescent Medicine (Internal Medicine) Physician, 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
7K
Medicare Part D claims · 776 beneficiaries · Adolescent Medicine (Internal Medicine) Physician avg: 3K
Generic prescribing
91%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1/100
▲ 11 pts above national avg 83.5 · Exceptional
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Ryan McCarthy, M.D. reported a CMS MIPS final score of 94.1/100 - above the 83.5 national average - and filed 7,454 Medicare Part D claims in 2023.

94.1/100
MIPS score · +11 vs avg
7K
Part D claims, 2023
91%
generic prescribing
Likely
board-certified (heuristic)

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.

CMS NPPES provider registry desk

NPI 1780630822 · Adolescent Medicine (Internal Medicine) Physician

NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-ELITE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1780630822
  • ENUM-LEGACY 2006
  • TAX-TRACE 375
  • MIPS-ELITE 94.1/100
  • RX-MID 7,454
  • BOOK-THIN 2 in West Virginia
  • PHOTO-FINISH Syed Ghani · ±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

Ryan McCarthy, M.D.'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.

94 ≥ 73rd percentile 73% 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 Ryan McCarthy, M.D. sits

This provider among adolescent medicine (internal medicine) physician peers

Across the 61 adolescent medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ryan McCarthy, M.D. writes more Part D claims than 74% of them and scores higher on MIPS quality than 75% - 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 quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Ryan McCarthy, M.D., Part D claim volume, percentile in specialty: 74 · MIPS quality, percentile: 75
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adolescent medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Ryan McCarthy, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Ryan McCarthy, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Ryan McCarthy, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/26/2006

NPI 1780630822

Primary specialty

Adolescent Medicine (Internal Medicine) Physician

Rare

375 US NPIs in this specialty

Medicare Part D claims

7,454 130% vs specialty avg

2023 prescription claims

Specialty avg: 3,242

MIPS final score

94.1/100 10.6 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in West Virginia

How Adolescent Medicine (Internal Medicine) Physician compares to other specialties among West Virginia providers

West Virginia providers
Personal Care Attendant38.4%Home Health Aide8.2%Community Health Worker5.2%Homemaker3.1%Pharmacist3%Student in an Organized Heal…2.9%Adolescent Medicine (Interna…0%
Largest specialties in West Virginia (% of in-state providers)

Medicare quality performance, MIPS

Ryan McCarthy, M.D.'s 2023 MIPS final score plotted against the Adolescent Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
94.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%94.1%
MIPS final score (Adolescent Medicine (Internal Medicine) Physician) - 94.1/100 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

1002 SUSHRUTA DR
Martinsburg, WV 25401
(304) 263-0913

Provider Details

NPI 1780630822
Specialty Adolescent Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 05/26/2006

CMS Quality Score (MIPS)

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

94.1061
Final Score
Measured-score avg: 83.5
78.4655
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Ryan McCarthy, M.D. 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.

West Virginia University Medical Corporation
Morgantown, WV

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

Brand vs generic prescribing mix · Generic-heavy

Ryan McCarthy, M.D. - brand share 8.0%
Adolescent Medicine (Internal Medicine) Physician average

8% brand-name claims vs 91% generic, on 7,454 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

7,454
Total Claims
$546K
Total Drug Cost
776
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,661
Total Day Supply
486,490
Brand vs Generic
8% brand / 91% generic
Brand Drug Cost
$400K
Generic Drug Cost
$142K
Opioid Claims
474 (6.4% rate)
Antibiotic Claims
75

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.25
Gender Split
54% female / 46% male
Age Distribution
<65: 75, 65-74: 323, 75-84: 270, 85+: 108

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Ryan McCarthy, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
 304
Lisinopril
 269
Metformin Hcl
 223
Omeprazole
 219
Metoprolol Succinate
 201
Levothyroxine Sodium
 193
Amlodipine Besylate
 183
Losartan Potassium
 182
Simvastatin
 176
Tramadol Hcl
 147

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

More Adolescent Medicine (Internal Medicine) Physician in WV → All providers in West Virginia → Compare specialties →

Adolescent Medicine (Internal Medicine) Physician Overview

How Ryan McCarthy, M.D. fits within the Adolescent Medicine (Internal Medicine) Physician landscape nationally.

375
Adolescent Medicine (Internal Medicine) Physician Providers in US
46
States with Adolescent Medicine (Internal Medicine) Physician
3,242
Avg Claims per Provider

Ryan McCarthy, M.D.'s 7,454 claims are above the specialty average of 3,242.

Nationwide Adolescent Medicine (Internal Medicine) Physician peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (94.1 here).

Syed Ghani 94.1 IL Jay D'Orso 94.2 CT Randy Talamayan 93.7 NJ Shriprakash Trivedi 93.5 VA

Same NPPES enumeration year (2006)

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

Jonathan Mansbach Boston, MA Sasikala Vemuri Flint, MI Manisha Patwardhan Chesterfield, MO Mohammad Hakim Medford, MA

Nearby Adolescent Medicine (Internal Medicine) Physician Providers in West Virginia

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

Dr. Kerry-Ann Jones
MD
Morgantown, WV

Compare Adolescent Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Ryan McCarthy, M.D.'s specialty? ▼
Ryan McCarthy, M.D. specializes in Adolescent Medicine (Internal Medicine) Physician and practices in Martinsburg, West Virginia. Credentials: M.D..
How much does Ryan McCarthy, M.D. prescribe under Medicare Part D? ▼
In 2023, Ryan McCarthy, M.D. wrote 7,454 Medicare Part D claims totaling $546K in drug costs for 776 beneficiaries.
What is Ryan McCarthy, M.D.'s Medicare quality score? ▼
Ryan McCarthy, M.D. has a CMS MIPS Final Score of 94.1/100 (Quality: 78.5). 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 Ryan McCarthy, M.D. located? ▼
Ryan McCarthy, M.D. is located at 1002 SUSHRUTA DR, Martinsburg, WV, 25401. Phone: (304) 263-0913.
What is Ryan McCarthy, M.D.'s NPI number? ▼
Ryan McCarthy, M.D.'s National Provider Identifier (NPI) is 1780630822, issued on 05/26/2006.
Does Ryan McCarthy, M.D. prescribe more brand-name or generic drugs? ▼
Ryan McCarthy, M.D.'s prescribing is 8% brand-name and 91% generic drugs by claim count, with $400K in brand drug costs.
Does Ryan McCarthy, M.D. prescribe opioids? ▼
Yes, Ryan McCarthy, M.D. had 474 opioid claims in 2023 with an opioid prescribing rate of 6.4%.
How many Adolescent Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 375 Adolescent Medicine (Internal Medicine) Physician providers across 46 states in the US. The average Adolescent Medicine (Internal Medicine) Physician provider writes 3,242 Medicare Part D claims per year.
What drugs does Ryan McCarthy, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Ryan McCarthy, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ryan McCarthy, M.D. accept Medicare? ▼
Ryan McCarthy, M.D. appears in CMS Medicare data with 7,454 Part D claims and 776 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ryan McCarthy, M.D.'s credentials? ▼
Ryan McCarthy, M.D.'s NPI is 1780630822 with credentials M.D.. 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 (2023). 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 April 2026 (NPPES) / 2023 (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

Compiled from official public sources by the editorial process.

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 May 2026.