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MR. KEVIN ANDREW MCCORMICK P.A.
NPI 1891834123
Physician Assistant in Colton, CA

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
400 N PEPPER AVE, COLTON, CA 92324(909) 387-7766 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Andrew Mccormick P.a. NPPES

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

MR. KEVIN ANDREW MCCORMICK P.A. (NPI 1891834123) is an individual physician assistant in Colton, California, licensed in California (PA 18702) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1891834123
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KEVIN ANDREW MCCORMICKCredential: P.A.
Location Address400 N PEPPER AVEColton, CA 92324-1801
Mailing Address2061 W Redlands Blvd, 5cRedlands, CA 92373-6230 · (909) 798-6123
Phone(909) 387-7766
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1891834123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA 18702
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 N PEPPER AVE, Colton, CA 92324
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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

Mr. Kevin Andrew Mccormick P.a. 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 ID244337889
PECOS Enrollment IDI20070516000466
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 20

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

CATHERINE J CALHOUN
Licensed Psychiatric Technician
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
CINDY COZART
Registered Nurse (Psychiatric/Mental Health)
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
ARROWHEAD REGIONAL MEDICAL CENTER
General Acute Care Hospital
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1000
LINDA MATTHEWS
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
BRANDI DEUEL
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-3144
CHIQUE LOU FLORES RN
Registered Nurse
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (909) 580-1800
KEVIN THIEN ONG
Student in an Organized Health Care Education/Training Program
400 N PEPPER AVE
COLTON, CA 92324
San Bernardino County (510) 525-6927
CAROLYN M DOHERTY MD
Otolaryngology
400 N PEPPER AVE, MOB SUITE 308
COLTON, CA 92324
San Bernardino County (909) 580-3353

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 Kevin Mccormick's NPI number?

The NPI number for Kevin Mccormick is 1891834123. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Kevin Mccormick located?

Kevin Mccormick practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 387-7766.

What is Kevin Mccormick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kevin Mccormick enrolled in Medicare?

Yes. Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Mccormick was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.