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FRANCIS XAVIER MCCORMACK JR. M.D.
NPI 1083671564
Internal Medicine - Pulmonary Disease in Cincinnati, OH

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
200 EDEN AVE, CINCINNATI, OH 45220(513) 475-8523(513) 475-1327 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2017, Sep 28, 2016, Sep 2, 2016 (3 updates tracked since 2016).

About Francis Xavier Mccormack Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRANCIS XAVIER MCCORMACK JR. M.D. (NPI 1083671564) is an individual pulmonary disease provider in Cincinnati, Ohio, licensed in Ohio (35-067888) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of University Of Texas Medical Branch At Galveston (1982).

NPPES Registry Identity

NPI1083671564
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameFRANCIS XAVIER MCCORMACK JR.Credential: M.D.
Location Address200 EDEN AVECincinnati, OH 45220
Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 245-3104 · Fax (513) 585-5511
Phone(513) 475-8523
Fax(513) 475-1327
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1982
Enumeration DateApril 27, 2006
Last NPPES UpdateAugust 21, 20173 updates tracked since enumeration
✔ NPI 1083671564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OH · 35-067888
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35-067888 (OH)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35-067888 (OH)
200 EDEN AVE, Cincinnati, OH 45220
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Other Identifiers 6

Other110248665OH · Rail Road Medicare
Medicaid64937675KY
Medicaid200144030IN
Medicare UPINE48631
Medicaid0107075OH
Medicare PINMC0775401OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Francis Xavier Mccormack Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072408715
PECOS Enrollment IDI20040220000202
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services28 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims13 services$63.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MITCHELL CARL RASHKIN M.D.
Internal Medicine (Pulmonary Disease)
200 EDEN AVE
CINCINNATI, OH 45220
Hamilton County (513) 475-8523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Francis Mccormack's NPI number?

The NPI number for Francis Mccormack is 1083671564. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Francis Mccormack located?

Francis Mccormack practices at 200 Eden Ave, Cincinnati, OH 45220. The listed phone number is (513) 475-8523.

What is Francis Mccormack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Francis Mccormack enrolled in Medicare?

Yes. Francis Mccormack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Francis Mccormack accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Francis Mccormack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Francis Mccormack affiliated with any hospitals?

According to CMS data, Francis Mccormack is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Francis Mccormack was last updated on August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.