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DR. SHAUGHN JOSEPH MCCORMICK DMD
NPI 1497218648
Dentist - General Practice in Albuquerque, NM

Active since April 12, 2019PECOS Enrolled
MSC DENTAL CAMINO DEL SALUD 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 925-7663(505) 925-4030 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2024, Sep 25, 2024, Jul 16, 2024 and 4 more (7 updates tracked since 2019).

About Dr. Shaughn Joseph Mccormick Dmd NPPES

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

DR. SHAUGHN JOSEPH MCCORMICK DMD (NPI 1497218648) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (DD5513) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497218648
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SHAUGHN JOSEPH MCCORMICKCredential: DMD
Location AddressMSC DENTAL CAMINO DEL SALUD 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476 · Fax (505) 925-4030
Phone(505) 925-7663
Fax(505) 925-4030
Sole ProprietorYes
Enumeration DateApril 12, 2019
Last NPPES UpdateNovember 7, 20247 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1497218648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NM · DD5513
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
MSC DENTAL CAMINO DEL SALUD 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shaughn Joseph Mccormick Dmd 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 Shaughn Mccormick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unm Medical Group Inc
4.4 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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 Shaughn Mccormick's NPI number?

The NPI number for Shaughn Mccormick is 1497218648. It was assigned to this individual provider in the NPPES registry on April 12, 2019.

Where is Shaughn Mccormick located?

Shaughn Mccormick practices at Msc Dental Camino Del Salud 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 925-7663.

What is Shaughn Mccormick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shaughn Mccormick enrolled in Medicare?

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

Which organization bills Medicare for Shaughn Mccormick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaughn Mccormick reassigns Medicare benefits to Unm Medical Group Inc (Albuquerque, NM). 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 Shaughn Mccormick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shaughn Mccormick was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.