DR. BRIAN MCCORMACK DDS
NPI 1619110996
Dentist - Endodontics in Stony Brook, NY
About Dr. Brian Mccormack Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRIAN MCCORMACK DDS (NPI 1619110996) is an individual endodontics provider in Stony Brook, New York, licensed in New York (054959-1) and active in the NPI registry since April 2009. He has opted out of Medicare through June 23, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Brian Mccormack Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 23, 2015 through June 23, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONY BROOK, NY 11790
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 Brian Mccormack's NPI number?
The NPI number for Brian Mccormack is 1619110996. It was assigned to this individual provider in the NPPES registry on April 15, 2009.
Where is Brian Mccormack located?
Brian Mccormack practices at 2500 Nesconset Hwy Bldg 18A, Stony Brook, NY 11790. The listed phone number is (516) 313-6949.
What is Brian Mccormack's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.
Is Brian Mccormack enrolled in Medicare?
No. Brian Mccormack has opted out of Medicare through June 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Brian Mccormack accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Brian Mccormack 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 Brian Mccormack was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Brian Mccormack, DDS · NPI 1619110996
Endodontics provider in Stony Brook, New York. Individual provider, active in the CMS NPPES registry since April 15, 2009.
## Identity
- **NPI:** 1619110996 (Entity type: Individual)
- **Enumerated:** April 15, 2009
- **Primary specialty:** Dentist - Endodontics · taxonomy 1223E0200X
- **State license:** 054959-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 NESCONSET HWY BLDG 18A, Stony Brook, NY 11790-2563
- **Phone:** (516) 313-6949
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 23, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** June 7, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1619110996) · Data from the CMS NPPES public registry.