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MR. THOMAS J MCCORMACK M.D.
NPI 1972581353
Orthopaedic Surgery in Kansas City, MO

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
86.88/100
CMS Quality Rating
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139(816) 404-7200 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Nov 9, 2016 (2 updates tracked since 2016).

About Mr. Thomas J Mccormack M.d. NPPES

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

MR. THOMAS J MCCORMACK M.D. (NPI 1972581353) is an individual orthopaedic surgery provider in Kansas City, Missouri, licensed in Missouri (109617) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with University Health Lakewood Medical Center, and is a graduate of University Of Missouri, Columbia School Of Medicine (1991).

NPPES Registry Identity

NPI1972581353
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMR. THOMAS J MCCORMACKCredential: M.D.
Location Address7900 LEES SUMMIT RDKansas City, MO 64139-1236
Mailing Address2310 Holmes St Ste 800Kansas City, MO 64108-2602 · (816) 404-8188
Phone(816) 404-7200
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1991
Enumeration DateJanuary 5, 2006
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1972581353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MO · 109617
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
7900 LEES SUMMIT RD, Kansas City, MO 64139
Open in Google Maps ↗

Other Identifiers 1

Medicaid208931519MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Mr. Thomas J Mccormack M.d. 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 ID6507894573
PECOS Enrollment IDI20050801000333
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 5

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
225 services131 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.
215 services156 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.
66 services66 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
25 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

University Health Lakewood Medical Center

Acute Care Hospitals · Kansas City, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260102
Location7900 Lee's Summit RdKansas City, MO 64139 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64139 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

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.

86.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.46
Promoting Interoperability100
Improvement Activities40
Cost57.71

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier15 claims15 services$37.52 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier12 claims12 services$10.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Jenny ***** September 6, 2025

4/5
I have found Dr. McCormack to be outstanding in his field in the area of Orthopaedic knowledge. He ihas been congenial and responsive to my patient concerns%2C as well as organized in areas of patient assessment and treatment planning. He is on time in appointments and attentive while engaged with them.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

DR. DYLAN GRAU DPM
Podiatrist (Foot & Ankle Surgery)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-7000
DR. COLE ARTHUR EISE DDS
Dentist (General Practice)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (417) 893-9592
DR. DANA ROSALINE MCKINNEY M.D.
Physical Medicine & Rehabilitation
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-8557
KRISTOPHER L COWAN D.O.
Student in an Organized Health Care Education/Training Program
7900 LEES SUMMIT RD, FAMILY MEDICINE RESIDENCY OFFICE
KANSAS CITY, MO 64139
Jackson County (816) 404-9030
JOSEPH ALLRED MD
Student in an Organized Health Care Education/Training Program
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-4862
QUIANA MCKNIGHT
Student in an Organized Health Care Education/Training Program
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-2543
SAMANTHA COLLINSON CNM
Advanced Practice Midwife
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-8243
DR. ROXANE S BREMEN D.O.
Psychiatry & Neurology (Neurology)
7900 LEES SUMMIT RD
KANSAS CITY, MO 64139
Jackson County (816) 404-8800

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 Thomas Mccormack's NPI number?

The NPI number for Thomas Mccormack is 1972581353. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Thomas Mccormack located?

Thomas Mccormack practices at 7900 Lees Summit Rd, Kansas City, MO 64139. The listed phone number is (816) 404-7200.

What is Thomas Mccormack's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Mccormack enrolled in Medicare?

Yes. Thomas Mccormack 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 Thomas Mccormack accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Thomas 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.

Is Thomas Mccormack affiliated with any hospitals?

According to CMS data, Thomas Mccormack is affiliated with University Health Lakewood Medical Center and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Mccormack was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.