Mark O. McCorkindale, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19231 Issued in NE

Practice address

615 E 14TH St
Wayne, NE 68787-1152

Phone

(402) 375-2500

Fax

(402) 375-2463

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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.

• Faith Regional Physician Services, LLC

  • Family Medicine Physician
  • Norfolk, NE
  • NPI 1265489157

  Family Medicine, NE

  Medicare reassignment Care Compare group NPD
• Providence Medical Center

  • Critical Access Hospital
  • Wayne, NE
  • NPI 1801867494

  NE

  Medicare reassignment NPD
• Faith Regional Physician Services, LLC

  • Anesthesiology Physician
  • Norfolk, NE
  • NPI 1275074577
  NPD
• Providence Medical Center

  • Primary Care Clinic/Center
  • Wayne, NE
  • NPI 1699556647
  NPD
• Lindahl Healthcare, Inc.

  • Skilled Nursing Facility
  • Wayne, NE
  • NPI 1740574284
  NPD (past)
• Mercy Medical Services

  • Medical Physician Assistant
  • Sioux City, IA
  • NPI 1255479143

  Family Medicine

  NPD (past)
• Mercy Medical Services

  • Family Nurse Practitioner
  • Mapleton, IA
  • NPI 1598803637

  Family Medicine

  NPD (past)
• Mercy Medical Services

  • Family Nurse Practitioner
  • Sioux City, IA
  • NPI 1891833877

  Family Medicine

  NPD (past)

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

• Faith Regional Health Services

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544

  Hospital

  Care Compare affiliation
• Lindahl Healthcare, Inc.

  • Skilled Nursing Facility
  • Wayne, NE
  • NPI 1740574284

  Nursing home

  Care Compare affiliation
• Providence Medical Center

  • Home Health Agency
  • Wayne, NE
  • NPI 1003971748

  Home health agency

  Care Compare affiliation
• Providence Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Wayne, NE
  • NPI 1255470092

  Nursing home

  Care Compare affiliation
• Providence Medical Center

  • Community Based Hospice Care Agency
  • Wayne, NE
  • NPI 1639218472

  Hospice

  Care Compare affiliation
• Providence Medical Center

  • Critical Access Hospital
  • Wayne, NE
  • NPI 1801867494

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

University of Nebraska College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Faith Regional Physician Services LLC 194 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Medical Center Home Health Home health agency, Wayne, NE, CCN 287095
• Providence Hospice Hospice, Wayne, NE, CCN 281520
• Providence Medical Center Hospital, Wayne, NE, CCN 281345
• Faith Health Hospital, Norfolk, NE, CCN 280125
• Wayne Countryview Care and Rehabilitation Nursing home, Wayne, NE, CCN 285135
• Providence Medical Center Nursing home, CCN 28Z345

Merit-based Incentive Payment System (MIPS)

Final score

80.77 of 100Reported as group

Quality

67.03

Promoting interoperability

96

Improvement activities

40

Cost

72.22

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in NE

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.mccorkindale@nehiidirectmail.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 17, 2007.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1679528616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511020328",
            "telephone_number": "712-279-5830",
            "fax_number": "712-279-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 14TH ST",
            "city": "WAYNE",
            "state": "NE",
            "postal_code": "687871152",
            "telephone_number": "402-375-2500",
            "fax_number": "402-375-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKINDALE",
        "first_name": "MARK",
        "middle_name": "O.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "19231",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "29362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS - MAPLE VAL",
            "identifier": "17827",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7085498",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8085498",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Manoucheri, PHARMD
• Alisyn Martin
• Kiley Maxon, LDH
• Destiny H McConnell
• Gail B McCorkindale, PT, DPT
• Olivia McCormick
• Ethan McCraney
• Jasmyne McDonald
• Angela McLaughlin
• Collin McPartlan

• All providers in Wayne, NE
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.

Verify at the official NPI Registry.