John Patrick McCarthy, DDS
NPI 1265952089ActiveIndividual· Dentist, General Practice· Ballwin, MO
Opted out of Medicare from April 2019 to April 2027. Dentist, General Practice (DDS) in Ballwin, Missouri, licensed in MO and OK, with an NPI issued in June 2017. Part D covered 90 prescriptions written in 2024, 99% of them generic. Straumann USA LLC was the largest of 2 companies reporting payments in 2025, $1,263 in all, mostly food and beverage.
Overview
| NPI | 1265952089 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | Jun 22, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2018012854 | MO |
| Dentist, General Practice | 1223G0001X | 6970 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 23, 2019 – Apr 23, 2027 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 90 · 92 30-day fills |
|---|---|
| Patients | 54 |
| Total drug cost | $330.19 |
| Generic share | 99% of claims |
Industry payments (Open Payments)
- 2025$1,263 · 11 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $1,028 | 10 |
| Ultradent Products Inc | $234.95 | 1 |
What the 2025 payments were for
- Food and Beverage$577.56 · 9 payments
- Education$450.00 · 1 payment
- Gift$234.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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