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DR. THOMAS EDWARD MCCORMICK M.D.
NPI 1295720506
Pediatrics - Adolescent Medicine in Louisville, KY

Active since September 13, 2005PECOS Enrolled
9905 SHELBYVILLE RD, LOUISVILLE, KY 40223(502) 425-5166(502) 327-0526 Get Directions Write a Review

NPPES record last updated: September 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 13, 2017, Jan 16, 2017, Sep 15, 2016 (3 updates tracked since 2016).

About Dr. Thomas Edward Mccormick M.d. NPPES

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

DR. THOMAS EDWARD MCCORMICK M.D. (NPI 1295720506) is an individual adolescent medicine provider in Louisville, Kentucky, licensed in Kentucky (26121) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295720506
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. THOMAS EDWARD MCCORMICKCredential: M.D.
Location Address9905 SHELBYVILLE RDLouisville, KY 40223-2907
Mailing Address9905 Shelbyville RdLouisville, KY 40223-2907 · (502) 425-5166 · Fax (502) 327-0526
Phone(502) 425-5166
Fax(502) 327-0526
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateSeptember 13, 20173 updates tracked since enumeration
✔ NPI 1295720506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in KY · 26121
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License 26121 (KY)
9905 SHELBYVILLE RD, Louisville, KY 40223
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Other Identifiers 2

Medicaid64261217KY
Medicare UPING00774KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Edward Mccormick M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Mccormick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norton Children's Medical Group, LLC
4.5 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

DR. NICHOLAS M HINKEBEIN M.D.
Pediatrics
9905 SHELBYVILLE RD
LOUISVILLE, KY 40223
Jefferson County (502) 425-5166
DR. BRUCE ANTHONY DAVIS M.D.
Pediatrics
9905 SHELBYVILLE RD
LOUISVILLE, KY 40223
Jefferson County (502) 425-5166
DR. LORRAINE A RUST-KILLEEN M.D.
Pediatrics
9905 SHELBYVILLE RD
LOUISVILLE, KY 40223
Jefferson County (502) 425-5166
DRS. HINKEBEIN, DAVIS & MCCORMICK, PLLC
Pediatrics
9905 SHELBYVILLE RD
LOUISVILLE, KY 40223
Jefferson County (502) 425-5166
KAITLYN COOPER MOHLENBROK NP
Nurse Practitioner (Family)
9905 SHELBYVILLE RD
LOUISVILLE, KY 40223
Jefferson County (502) 425-5166
KELSEY M HOWELL APRN
Nurse Practitioner (Family)
9905 SHELBYVILLE RD
LOUISVILLE, KY 40223
Jefferson County (502) 425-5166
DR. JAMES MICHAEL HINKEBEIN M.D.
Pediatrics
9905 SHELBYVILLE RD
LOUISVILLE, KY 40223
Jefferson County (502) 425-5166

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 Thomas Mccormick's NPI number?

The NPI number for Thomas Mccormick is 1295720506. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Thomas Mccormick located?

Thomas Mccormick practices at 9905 Shelbyville Rd, Louisville, KY 40223. The listed phone number is (502) 425-5166.

What is Thomas Mccormick's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Thomas Mccormick enrolled in Medicare?

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

Which organization bills Medicare for Thomas Mccormick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Mccormick reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Mccormick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Mccormick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Thomas 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 Thomas Mccormick was last updated on September 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.