Individual provider Active NPI

Adam Michael McCormick, PA

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1114301470
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001915A Issued in IN
Practice address
6920 Gatwick Dr
Suite 200
Indianapolis, IN 46241-9504
Phone
(317) 455-1064
Fax
(317) 455-1204
NPI assigned
Jul 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 10001915A IN Primary

Addresses

Primary practice location

6920 Gatwick Dr
Suite 200
Indianapolis, IN 46241-9504

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407

Other practice location 1

541 S Landmark Ave
Bloomington, IN 47403-3239
Phone (317) 455-1064

Other practice location 2

3051 S US Highway 41
Terre Haute, IN 47802-3791
Phone (317) 455-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008000366 IN Practitioner - Physician Assistant 7517275787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Indiana Orthopedics LLCGroup PAC ID 5698667822, 148 clinicians

Practice addresses (Care Compare)

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 284-7738

541 S Landmark Ave
Bloomington, IN 47403-3239
Phone (317) 455-1064

6920 Gatwick Dr
Suite 200
Indianapolis, IN 46241-9619
Phone (317) 455-1064

Hospital & facility affiliations

  • Franciscan Health Mooresville Hospital, Mooresville, IN, CCN 150057

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
64.48
Promoting interoperability
96
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001915AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Indiana Orthopedics, LLC CurrentSince Apr 1, 2023 Accepting new patients
Central Indiana Orthopedics LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

541 S Landmark Ave
Bloomington, IN 47403
Phone (317) 455-1064

6920 Gatwick Dr
Ste 200
Indianapolis, IN 46241
Phone (317) 455-1064

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

3051 S US Highway 41
Terre Haute, IN 47802
Phone (317) 455-1064

Interoperability endpoints

  • Direct secure messaging: amccormick209538@direct.franciscanalliance.org
  • Direct secure messaging: adam.mccormik.p4@direct.beaconortho.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1114301470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 GATWICK DR",
            "address_2": "SUITE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419504",
            "telephone_number": "317-455-1064",
            "fax_number": "317-455-1204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "541 S Landmark Ave",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474033239",
            "country_code": "US",
            "telephone_number": "317-455-1064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3051 S US Highway 41",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478023791",
            "country_code": "US",
            "telephone_number": "317-455-1064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "ADAM",
        "middle_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001915A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.