JAMES RICHARD MCCORMICK JR. MD
NPI 1144244997
Internal Medicine - Pulmonary Disease in Lexington, KY

Q: What is James Mccormick's NPI number?

The NPI number for James Mccormick is 1144244997. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is James Mccormick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Mccormick was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 26, 2006PECOS Enrolled

100/100

CMS Quality Rating

740 S LIMESTONE, LEXINGTON, KY 40536(859) 323-5981 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About James Richard Mccormick Jr. Md NPPES

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

JAMES RICHARD MCCORMICK JR. MD (NPI 1144244997) is an individual pulmonary disease provider in Lexington, Kentucky, licensed in Kentucky (30863) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144244997

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameJAMES RICHARD MCCORMICK JR.Credential: MD

Location Address740 S LIMESTONELexington, KY 40536-0001

Mailing Address2333 Alumni Park Plz, Suite 200Lexington, KY 40517-4012 · (859) 257-7910

Phone(859) 323-5981

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateJune 14, 2012

✔ NPI 1144244997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in KY · 30863

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 30863 (KY)

740 S LIMESTONE, Lexington, KY 40536

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Other Identifiers 3

Medicare UPIND46063

Medicaid64308638KY

Medicare ID-Type Unspecified0054964

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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 (PECOS)

James Richard Mccormick Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

53 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers52 claims52 services$18.43 avg. paid by Medicare

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

4 suppliers63 claims63 services$93.78 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers23 claims23 services$33.33 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

2 suppliers11 claims630 services$0.82 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers12 claims12 services$25.09 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 20

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

DR. ELIZABETH BROWN AUTRY PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 218-2509

KHALID HAIKAL DO

Psychiatry & Neurology (Neurology)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 323-5661

MARK A ETSCHEIDT PHD

Psychologist (Clinical)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 323-5956

MICHAEL HAN YOUNG MD

Internal Medicine (Infectious Disease)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 323-5544

MR. DAVID ANTHONY BRAJUHA ATC

Specialist/Technologist (Athletic Trainer)

740 S LIMESTONE, SUITE K401, KY CLINIC
LEXINGTON, KY 40536

Fayette County (859) 323-5533

MS. MARGARET GRACE AU MBE, MS, CGC

Genetic Counselor, MS

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 218-1795

ALEXANDRIA DULAY

Nurse Practitioner (Psychiatric/Mental Health)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 257-8992

KITTYE R ROBERTS ARNP

Nurse Practitioner (Primary Care)

740 S LIMESTONE
LEXINGTON, KY 40536

Fayette County (859) 323-5981

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 James Mccormick's NPI number?

The NPI number for James Mccormick is 1144244997. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is James Mccormick located?

James Mccormick practices at 740 S Limestone, Lexington, KY 40536. The listed phone number is (859) 323-5981.

What is James Mccormick's specialty?

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

Is James Mccormick enrolled in Medicare?

Yes. James Mccormick is registered in the Medicare PECOS enrollment system.

What insurance does James Mccormick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list James Mccormick 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.

When was this NPI record last updated?

The NPPES record for James Mccormick was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.