JUSTIN MCCORMICK
NPI 1508250622
Otolaryngology in New Brunswick, NJ

Active since March 26, 2015PECOS EnrolledAccepts Medicare Assignment
10 PLUM ST FL 5, NEW BRUNSWICK, NJ 08901(732) 235-5530 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2024, Sep 1, 2020 (2 updates tracked since 2020).

About Justin Mccormick NPPES

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

JUSTIN MCCORMICK (NPI 1508250622) is an individual otolaryngology provider in New Brunswick, New Jersey, licensed in New Jersey (25MA11134900) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1508250622
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJUSTIN MCCORMICK
Location Address10 PLUM ST FL 5New Brunswick, NJ 08901-2066
Mailing Address10 Plum St Fl 5New Brunswick, NJ 08901-2066
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2015
Enumeration DateMarch 26, 2015
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
NPI 1508250622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in NJ · 25MA11134900 Licensed in CA · A167071
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
10 PLUM ST FL 5, New Brunswick, NJ 08901

Secondary Practice Location 1

Location 1200 Ucla Medical Plz Ste 550Los Angeles, CA 90095-2238 · Phone (310) 206-6688

Accepted 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

Justin Mccormick 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 ID2860797602
PECOS Enrollment IDI20210629000634
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 7

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
127 services87 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.
75 services48 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.
32 services32 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
26 services21 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.
17 services17 patients
Computer-assisted procedure outside membrane covering brain 61782
A computer-assisted procedure outside the brain's membrane involves using advanced technology to help doctors accurately navigate and perform operations near the brain. This method enhances precision, safety, and effectiveness, potentially reducing recovery time.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 11

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

Physician Assistant
10 PLUM ST FL 5
NEW BRUNSWICK, NJ 08901
Otolaryngology
10 PLUM ST FL 5
NEW BRUNSWICK, NJ 08901
Otolaryngology
10 PLUM ST FL 5
NEW BRUNSWICK, NJ 08901
Physician Assistant
10 PLUM ST FL 5
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Family)
10 PLUM ST FL 5
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Family)
10 PLUM ST FL 5
NEW BRUNSWICK, NJ 08901
Otolaryngology
10 PLUM ST FL 5
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Family)
10 PLUM ST FL 5
NEW BRUNSWICK, NJ 08901

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 Justin Mccormick's NPI number?

The NPI number for Justin Mccormick is 1508250622. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Justin Mccormick located?

Justin Mccormick practices at 10 Plum St Fl 5, New Brunswick, NJ 08901. The listed phone number is (732) 235-5530.

What is Justin Mccormick's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Justin Mccormick enrolled in Medicare?

Yes. Justin 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 Justin Mccormick accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Justin 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 Justin Mccormick affiliated with any hospitals?

According to CMS data, Justin Mccormick is affiliated with Hunterdon Medical Center and Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Justin Mccormick was last updated on May 2, 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.