Active NPI
Adam Michael McCormick, PA
- Physician Assistant
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001915A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.81 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10001915A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Indiana Orthopedics, LLC | Current | Accepting new patients | |
| Central Indiana Orthopedics LLC | Current | 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
- amccormick209538@direct.franciscanalliance.org
- 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.
-
- Orthopaedic Surgery Physician
- Muncie, IN
- NPI 1063422137
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1669207023
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mooresville, IN
- NPI 1679678197
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.