Individual provider Active NPI

Daniel Ray McCormack Jr., D.O.

  • Ophthalmology Physician
  • Owensboro, KY
National Provider Identifier
1124323837
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
03727 Issued in KY
Practice address
2845 Farrell Crescent
Owensboro, KY 42303
Phone
(270) 926-3297
Fax
(270) 926-7325
NPI assigned
Jan 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 03727 KY Primary

Addresses

Primary practice location

2845 Farrell Crescent
Owensboro, KY 42303

Mailing address

2845 Farrell Crescent
Owensboro, KY 42303
Phone (270) 926-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140903000722 KY Practitioner - Ophthalmology 4587803515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Eye Center of Owensboro, PSCGroup PAC ID 5890736094, 4 clinicians

Practice addresses (Care Compare)

2845 Farrell Cres
Owensboro, KY 42303-1393
Phone (270) 926-3297

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.13 of 100Reported as group
Quality
92.63
Promoting interoperability
93
Improvement activities
40
Cost
73.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eye Center Ophthalmology CurrentSince Sep 1, 2014 Accepting new patients
Physicians Eye Center of Owensboro, PSC Ophthalmology CurrentSince Sep 1, 2014 Accepting new patients

Locations

2845 Farrell Cres
Owensboro, KY 42303
Phone (270) 926-3297

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: daniel.mccormack.p1@direct.owensboroeye.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": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1124323837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 FARRELL CRESCENT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-926-3297",
            "fax_number": "270-926-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 FARRELL CRESCENT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-926-3297",
            "fax_number": "270-926-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "DANIEL",
        "middle_name": "RAY",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-12",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "03727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.