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JOHN TUCKER MCCORMICK PA-C
NPI 1477066926
Physician Assistant - Medical in Fayetteville, AR

Active since November 07, 2017PECOS EnrolledAccepts Medicare Assignment
4375 N VANTAGE DR STE 305, FAYETTEVILLE, AR 72703(479) 443-5100(479) 443-5117 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Jan 27, 2020, Nov 7, 2017 (3 updates tracked since 2017).

About John Tucker Mccormick Pa-c NPPES

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

JOHN TUCKER MCCORMICK PA-C (NPI 1477066926) is an individual medical provider in Fayetteville, Arkansas, licensed in Arkansas (PA-747) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1477066926
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJOHN TUCKER MCCORMICKCredential: PA-C
Location Address4375 N VANTAGE DR STE 305Fayetteville, AR 72703-4984
Mailing Address4375 N Vantage Dr Ste 305Fayetteville, AR 72703-4984 · (479) 443-5100 · Fax (479) 443-5117
Phone(479) 443-5100
Fax(479) 443-5117
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 7, 2017
Last NPPES UpdateFebruary 16, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2024
✔ NPI 1477066926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in AR · PA-747✔ Licensed in OK · 4941✔ Licensed in PA · MA061232
4375 N VANTAGE DR STE 305, Fayetteville, AR 72703
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Mending 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

John Tucker Mccormick Pa-c 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 ID3476811100
PECOS Enrollment IDI20171229000614
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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
128 services33 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.
67 services60 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
51 services49 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
51 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services25 patients

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
90%251 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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 suppliers27 claims27 services$18.42 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
5 suppliers39 claims39 services$108.36 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 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 4

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

LYNDSEY WHITAKER APRN
Nurse Practitioner (Family)
4375 N VANTAGE DR STE 305
FAYETTEVILLE, AR 72703
Washington County (479) 443-5100
DR. SCOTT M JACKSON M.D.
Dermatology
4375 N VANTAGE DR STE 305
FAYETTEVILLE, AR 72703
Washington County (479) 273-7006
DR. JAMIE LANGENHAN ABBOTT MD
Dermatology
4375 N VANTAGE DR STE 305
FAYETTEVILLE, AR 72703
Washington County (479) 443-5100
TONYA J SOOK ARNP-C
Nurse Practitioner (Family)
4375 N VANTAGE DR STE 305
FAYETTEVILLE, AR 72703
Washington County (479) 443-5100

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 1477066926. It was assigned to this individual provider in the NPPES registry on November 7, 2017.

Where is John Mccormick located?

John Mccormick practices at 4375 N Vantage Dr Ste 305, Fayetteville, AR 72703. The listed phone number is (479) 443-5100.

What is John Mccormick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

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 Arkansas Blue Cross and Blue Shield, Health Advantage, Mending Health and Octave 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.

When was this NPI record last updated?

The NPPES record for John Mccormick was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.