Active NPI
Colleen Catherine McCormick, M.D.
- Obstetrics & Gynecology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D64772
- Practice address
- 4940 Eastern Ave
Baltimore, MD 21224-2735 - Phone
- (410) 550-5568
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | MD29172 | OR | |
| Gynecologic Oncology Physician | 207VX0201X | MD2021-1008 | NM | |
| Obstetrics & Gynecology Physician | 207V00000X | D64772 | MD | Primary |
Addresses
Primary practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-2704
Other practice location 1
1130 NW 22nd Ave Ste 110
Portland, OR 97210-2934
Phone (503) 413-8654
Other practice location 2
1201 Camino De Salud NE
Albuquerque, NM 87131-2934
Phone (505) 925-0460
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500607350 | Medicaid | OR | |
| D64772 | Other | MD | STATE LICENSE |
| 2001733 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Johns Hopkins University School of Medicine, 2001
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10755 Falls Rd
Lutherville, MD 21093-4515
Phone (443) 997-0400
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
601 N Caroline St
Baltimore, MD 21287-0006
Phone (410) 955-5080
Hospital & facility affiliations
- Johns Hopkins Hospital, the
- Johns Hopkins Bayview Medical Center
- Sibley Memorial Hospital
- University of Maryland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 75.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of the uterus | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D64772 | MD | MD | Obstetrics & Gynecology Physician |
| MD2021-1008 | NM | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Clinics LLC | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| The Johns Hopkins Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
600 N Wolfe St
Baltimore, MD 21287
4940 Eastern Ave
Baltimore, MD 21224
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
1201 Camino de Salud NE
Albuquerque, NM 87102
Phone (505) 272-4443
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
1130 NW 22nd Ave
Ste 110
Portland, OR 97210
Phone (503) 413-3940
1040 NW 22nd Ave
Ste 440
Portland, OR 97210
Phone (503) 413-8654
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
Interoperability endpoints
- cmccormick1242547@direct.hopkinsmedicine.org
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
- General Acute Care Hospital
- Washington, DC
- NPI 1366492977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1740362052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 EASTERN AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242735",
"telephone_number": "410-550-5568"
}
],
"practiceLocations": [
{
"address_1": "1130 NW 22nd Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972102934",
"country_code": "US",
"telephone_number": "503-413-8654",
"fax_number": "503-413-8655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Camino De Salud NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871312934",
"country_code": "US",
"telephone_number": "505-925-0460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "COLLEEN",
"middle_name": "CATHERINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "OR",
"license": "MD29172",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NM",
"license": "MD2021-1008",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D64772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500607350",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D64772",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2001733",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.