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DR. JOHN PATRICK MCCORMICK M.D.
NPI 1427494046
Surgery in New Albany, IN

Active since May 22, 2013PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2125 STATE ST STE 3, NEW ALBANY, IN 47150(812) 949-5575(812) 949-5595 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2021, Dec 9, 2020, Aug 28, 2018 and 2 more (5 updates tracked since 2018).

About Dr. John Patrick Mccormick M.d. NPPES

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

DR. JOHN PATRICK MCCORMICK M.D. (NPI 1427494046) is an individual surgery provider in New Albany, Indiana, licensed in Indiana (01080997A) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of University Of Louisville School Of Medicine (2013).

NPPES Registry Identity

NPI1427494046
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN PATRICK MCCORMICKCredential: M.D.
Location Address2125 STATE ST STE 3New Albany, IN 47150
Mailing Address5200 Commerce Crossing, 3rd FloorLouisville, KY 40229-2182 · (502) 253-4924 · Fax (502) 489-5750
Phone(812) 949-5575
Fax(812) 949-5595
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2013
Enumeration DateMay 22, 2013
Last NPPES UpdateApril 7, 20215 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1427494046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IN · 01080997A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2125 STATE ST STE 3, New Albany, IN 47150
Open in Google Maps ↗

Other Identifiers 1

OtherIN1189218IN · In Medicare

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 and accepts Medicare assignment

Dr. John Patrick Mccormick 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 ID5294037602
PECOS Enrollment IDI20180823001166
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.
90 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
54 services54 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.
40 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services38 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
17 services17 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47150 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

DR. THOMAS ALAN NOEL MD
Surgery
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Floyd County (812) 949-5575
MR. JORDAN BROKHA BROWN M.D.
Surgery
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Floyd County (812) 949-5575
RAVEN THOMAS PA
Physician Assistant
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Floyd County (812) 949-5575
NABEEL HABIB GUL MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Floyd County (812) 944-2663
JOHN D CLAYTON D.O.
Surgery
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Floyd County (812) 949-5575
DR. BIRUK ALMAZ M.D.
Colon & Rectal Surgery
2125 STATE ST STE 3
NEW ALBANY, IN 47150
Floyd County (812) 949-5575

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 John Mccormick's NPI number?

The NPI number for John Mccormick is 1427494046. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is John Mccormick located?

John Mccormick practices at 2125 State St Ste 3, New Albany, IN 47150. The listed phone number is (812) 949-5575.

What is John Mccormick's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Mccormick enrolled in Medicare?

Yes. John 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.

What insurance does John Mccormick accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list John 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.

Is John Mccormick affiliated with any hospitals?

According to CMS data, John Mccormick is affiliated with Baptist Health Floyd.

When was this NPI record last updated?

The NPPES record for John Mccormick was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.