2026 NPPES data Electrodiagnostic Medicine Physician NPI 1295883791 D.O.
Verify on CMS →

THERESA MCCARTHY, D.O.

Electrodiagnostic Medicine Physician in OAK FOREST, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
84.5729/100
▲ 1 pts above national avg 83.1 · [object Object]
What the federal data reveals: THERESA MCCARTHY, D.O. is a Electrodiagnostic Medicine Physician ([object Object]) practicing in OAK FOREST, Illinois . Their CMS MIPS Final Score of 84.5729/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: THERESA MCCARTHY, D.O. reported a CMS MIPS final score of 84.5729 out of 100, above the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

THERESA MCCARTHY, D.O. 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).

THERESA MCCARTHY, D.O. at a glance

Near national average

NPI registry status

Active

Issued 01/08/2007

NPI 1295883791

Primary specialty

Electrodiagnostic Medicine Physician

Rare

97 US NPIs in this specialty

MIPS final score

84.5729/100 1.4729000000000099% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Electrodiagnostic Medicine Physician compares to other specialties among Illinois providers

Illinois providers

Electrodiagnostic Medicine Physician share within Illinois

1. Electrodiagnostic Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Electrodiagnostic Medicine Physician share within Illinois

Medicare quality performance — MIPS

THERESA MCCARTHY, D.O.'s 2023 MIPS final score plotted against the Electrodiagnostic Medicine Physician national average

Near national average
MIPS Final Score
84.5729/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Electrodiagnostic Medicine Physician) — 84.5729/100 vs national avg 83.1

0%100%National avg83%84.6%
MIPS final score (Electrodiagnostic Medicine Physician) — 84.5729/100 vs national avg 83.1

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).

THERESA MCCARTHY, D.O. is a Electrodiagnostic Medicine Physician provider practicing in OAK FOREST, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1295883791. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

THERESA MCCARTHY, D.O. appears in the CMS NPPES registry as a Electrodiagnostic Medicine Physician provider holding D.O. credentials at 15900 SOUTH CICERO AVE, OAK FOREST, IL, 60452, with a listed phone of (708) 633-3091. NPI 1295883791 was issued on 01/08/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCCARTHY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Electrodiagnostic Medicine Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.5729/100 for the 2023 performance year (Quality 60.2504, Cost 67.0015), compared with the national average of 83.1.

Electrodiagnostic Medicine Physician is a narrow specialty nationwide, with 97 enrolled providers across 30 states and an average of 1,100 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

15900 SOUTH CICERO AVE
OAK FOREST, IL 60452

Provider Details

NPI 1295883791
Specialty Electrodiagnostic Medicine Physician
Credentials D.O.
Gender Female
NPI Issued 01/08/2007

CMS Quality Score (MIPS)

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

84.5729
Final Score
Avg: 83.1
60.2504
Quality
67.0015
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where THERESA MCCARTHY, D.O. 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.

COOK COUNTY
CHICAGO, IL

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

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 THERESA MCCARTHY, D.O.. To verify THERESA MCCARTHY, D.O.'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.

Electrodiagnostic Medicine Physician Overview

How THERESA MCCARTHY, D.O. fits within the Electrodiagnostic Medicine Physician landscape nationally.

97
Electrodiagnostic Medicine Physician Providers in US
30
States with Electrodiagnostic Medicine Physician
1,100
Avg Claims per Provider

Nearby Electrodiagnostic Medicine Physician Providers in Illinois

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

Compare Electrodiagnostic Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THERESA MCCARTHY, D.O.'s specialty?
THERESA MCCARTHY, D.O. specializes in Electrodiagnostic Medicine Physician and practices in OAK FOREST, Illinois. Credentials: D.O..
What is THERESA MCCARTHY, D.O.'s Medicare quality score?
THERESA MCCARTHY, D.O. has a CMS MIPS Final Score of 84.5729/100 (Quality: 60.2504, Cost: 67.0015). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THERESA MCCARTHY, D.O. located?
THERESA MCCARTHY, D.O. is located at 15900 SOUTH CICERO AVE, OAK FOREST, IL, 60452. Phone: (708) 633-3091.
What is THERESA MCCARTHY, D.O.'s NPI number?
THERESA MCCARTHY, D.O.'s National Provider Identifier (NPI) is 1295883791, issued on 01/08/2007.
How many Electrodiagnostic Medicine Physician providers are there in the US?
There are 97 Electrodiagnostic Medicine Physician providers across 30 states in the US. The average Electrodiagnostic Medicine Physician provider writes 1,100 Medicare Part D claims per year.
Does THERESA MCCARTHY, D.O. accept Medicare?
THERESA MCCARTHY, D.O. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THERESA MCCARTHY, D.O.'s credentials?
THERESA MCCARTHY, D.O.'s NPI is 1295883791 with credentials D.O.. 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

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.
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