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JAMES T MCCORMICK DO
NPI 1336156074
Colon & Rectal Surgery in Monroeville, PA

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
2566 HAYMAKER RD STE 304, MONROEVILLE, PA 15146(412) 457-0040(412) 457-0050 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2020, Apr 20, 2017, Jan 16, 2017 and 1 more (4 updates tracked since 2016).

About James T Mccormick Do NPPES

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

JAMES T MCCORMICK DO (NPI 1336156074) is an individual colon & rectal surgery provider in Monroeville, Pennsylvania, licensed in Pennsylvania (OS010297L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (1998).

NPPES Registry Identity

NPI1336156074
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameJAMES T MCCORMICKCredential: DO
Location Address2566 HAYMAKER RD STE 304Monroeville, PA 15146-3555
Mailing Address2566 Haymaker Rd Ste 304Monroeville, PA 15146-3555 · (412) 457-0040 · Fax (412) 457-0050
Phone(412) 457-0040
Fax(412) 457-0050
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 1998
Enumeration DateAugust 2, 2006
Last NPPES UpdateSeptember 30, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
✔ NPI 1336156074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in PA · OS010297L
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

2566 HAYMAKER RD STE 304, Monroeville, PA 15146
Open in Google Maps ↗

Other Identifiers 2

Other11821840Caqh
Medicaid101364173PA

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

James T Mccormick Do 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 ID3274579065
PECOS Enrollment IDI20050701000327
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 10

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 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.
49 services40 patients
Diagnostic exam of lower portion of large bowel using a flexible endoscope 45330
This procedure, known as a sigmoidoscopy, involves using a flexible tube with a camera to examine the lower part of your large bowel. It helps in identifying issues like inflammation, ulcers, or abnormal growths. It's a safe, minimally invasive procedure.
42 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services27 patients
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.
22 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15146 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 18

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
8 suppliers33 claims690 services$3.15 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
5 suppliers11 claims21 services$3.51 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
8 suppliers50 claims1,130 services$4.45 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
5 suppliers28 claims423 services$2.22 avg. paid by Medicare
Ostomy skin barrier, non-pectin based, paste, per ounce A4405
DME-Orthotic Devices · category DF010N
2 suppliers14 claims55 services$3.04 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
6 suppliers23 claims84 services$5.39 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 14

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

NYA J JOHNSON PA-C
Physician Assistant (Surgical)
2566 HAYMAKER RD STE 304
MONROEVILLE, PA 15146
Allegheny County (412) 858-3070
RHIANNON MARIE LAZEWSKI PA-C
Physician Assistant (Surgical)
2566 HAYMAKER RD STE 304
MONROEVILLE, PA 15146
Allegheny County (412) 858-3070
MACKENZIE ELIZABETH MAASEN PA-C
Physician Assistant (Surgical)
2566 HAYMAKER RD STE 304
MONROEVILLE, PA 15146
Allegheny County (412) 858-3070
REECE KRIST DEHAAN M.D.
Colon & Rectal Surgery
2566 HAYMAKER RD STE 304
MONROEVILLE, PA 15146
Allegheny County (412) 457-0040
KARA TERESA KLEBER MD
Surgery (Surgical Critical Care)
2566 HAYMAKER RD STE 304
MONROEVILLE, PA 15146
Allegheny County (412) 858-3070
MR. JOSEPH WILLIAM DEMEO PA-C
Physician Assistant (Surgical)
2566 HAYMAKER RD STE 304
MONROEVILLE, PA 15146
Allegheny County (412) 858-3070
LAVAL R KREPP CRNP
Nurse Practitioner (Acute Care)
2566 HAYMAKER RD STE 304
MONROEVILLE, PA 15146
Allegheny County (412) 858-3070
MRS. HANNAH SIZER YAGGI PA-C
Physician Assistant (Surgical)
2566 HAYMAKER RD STE 304
MONROEVILLE, PA 15146
Allegheny County (412) 457-0040

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 1336156074. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is James Mccormick located?

James Mccormick practices at 2566 Haymaker Rd Ste 304, Monroeville, PA 15146. The listed phone number is (412) 457-0040.

What is James Mccormick's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is James Mccormick enrolled in Medicare?

Yes. James Mccormick 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.

Is James Mccormick affiliated with any hospitals?

According to CMS data, James Mccormick is affiliated with Allegheny General Hospital, West Penn Hospital and Forbes Hospital.

When was this NPI record last updated?

The NPPES record for James Mccormick was last updated on September 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.