NPIMap

Individual provider Active NPI

Matthew C McCormack, M.D.

  • Urology Physician
  • Reno, NV
National Provider Identifier
1598810145
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
12111 Issued in NV
Practice address
5560 Kietzke LN.
BLDG. a
Reno, NV 89511
Phone
(775) 322-7811
Fax
(775) 322-1431
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A81129 CA
Urology Physician 208800000X 12111 NV Primary

Addresses

Primary practice location

5560 Kietzke LN.
BLDG. a
Reno, NV 89511

Mailing address

5560 Kietzke LN.
BLDG. a
Reno, NV 89511
Phone (775) 322-7811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070614000171 NV Practitioner - Urology 2769580786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Stanford University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Nevada LTDGroup PAC ID 1557460557, 24 clinicians

Practice addresses (Care Compare)

5560 Kietzke LN
BLDG a
Reno, NV 89511-3019
Phone (775) 322-7811

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
  • Renown South Meadows Medical Center Hospital, Reno, NV, CCN 290049
  • Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as apm
Quality
81.42
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
93.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12111NVMDPharmacist
A81129CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Grant General Hospital Past Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients
South Lyon Health Center, Inc. Past Accepting new patients
Renown Regional Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mmccormack753108@direct.med.utah.edu
  • Direct secure messaging: matthew.mccormack.1@19482.direct.athenahealth.com

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1598810145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN.",
            "address_2": "BLDG. A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN.",
            "address_2": "BLDG. A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A81129",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "12111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.