Individual provider Active NPI

Richard Arthur McCormack, M.D., M.B.A.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Massapequa, NY
National Provider Identifier
1487850525
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
261979 Issued in NY
Practice address
5500 Merrick Rd
Massapequa, NY 11758-6231
Phone
(516) 795-3033
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 261979 NY Primary

Addresses

Primary practice location

5500 Merrick Rd
Massapequa, NY 11758-6231

Mailing address

7 Exeter LN
Manhasset, NY 11030-1817
Phone (646) 861-1316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130821000320 NY Practitioner - Orthopedic Surgery 6608019724 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Chicago, Pritzker School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50.83 of 100Reported as individual
Quality
47.26
Promoting interoperability
0
Improvement activities
40
Cost
72.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement22
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261979NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Aug 19, 2013 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Aug 1, 2013 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Aug 1, 2013 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Orthopaedics Spine and Sports Medicine, LLC Sports Medicine Current Accepting new patients
Nassau Health Care Corporation CurrentSince Aug 19, 2013 Accepting new patients

Locations

2510 Westchester Ave
Ste 100
Bronx, NY 10461
Phone (718) 684-4677

1789 Sheepshead Bay Rd
Brooklyn, NY 11235
Phone (347) 587-1049

2103 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4500

2339 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 520-3053

2201 Hempstead Tpke
Fl 19
East Meadow, NY 11554
Phone (516) 486-6862

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

12 Unqua Rd
Massapequa, NY 11758

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: richardmccormack@ossm.allscriptsdirect.net

Organizations & group practices 6

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 3

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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1487850525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 EXETER LN",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110301817",
            "telephone_number": "646-861-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586231",
            "telephone_number": "516-795-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "RICHARD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "261979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.