Active NPI
Matthew Philip Cormier, DO
- Family Medicine Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2000146084
- Practice address
- 900 W Nifong Blvd Ste 101
Columbia, MO 65203-4469 - Phone
- (573) 815-6640
- Fax
- (573) 815-6644
- NPI assigned
- Aug 8, 2006
- Last updated
- Feb 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2000146084 | MO | Primary |
| Family Medicine Physician | 207Q00000X | 036101781 | IL |
Addresses
Primary practice location
900 W Nifong Blvd Ste 101
Columbia, MO 65203-4469
Mailing address
900 W Nifong Blvd Ste 101
Columbia, MO 65203-4469
Phone (573) 815-6640
Other practice location 1
326 N 24th St
Quincy, IL 62301-3140
Phone (217) 224-6423
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244999512 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- 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
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 W Nifong Blvd
Suite 101
Columbia, MO 65203-4469
Phone (573) 815-6640
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000146084 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scotland County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Blessing Corporate Services Inc | Family Medicine | Current | Accepting new patients |
| Scotland County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Scotland County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Scotland County Memorial Hospital Dba Wyaconda Medical Services | Family Medicine | Past | Accepting new patients |
| Blessing Hospital | Family Medicine | Past | Accepting new patients |
| Scotland County Memorial Hospital | Family Medicine | Past | Accepting new patients |
| Blessing Hospital | Past | Accepting new patients | |
| Physician Groups LC | Past | Accepting new patients | |
| Scotland County Memorial Hosptial | Past | Accepting new patients |
Locations
1005 Broadway St
Quincy, IL 62301
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
900 W Nifong Blvd
Ste 101
Columbia, MO 65203
Phone (573) 499-9009
450 E Sigler Ave
Ste A
Memphis, MO 63555
Phone (660) 465-2828
6996 County Road 326
Palmyra, MO 63461
Phone (573) 769-3710
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
dba Memphis Medical Services
- Rural Health Clinic/Center
- Memphis, MO
- NPI 1205844982
Family Medicine
-
dba Kahoka Medical Clinic
- Rural Health Clinic/Center
- Kahoka, MO
- NPI 1245427608
-
dba Palmyra Clinic
- Rural Health Clinic/Center
- Palmyra, MO
- NPI 1548368004
Family Medicine
-
dba Edina Medical Services
- Family Medicine Physician
- Edina, MO
- NPI 1568092732
-
dba Memphis Medical Services
- Family Medicine Physician
- Memphis, MO
- NPI 1578761060
-
dba Medical Arts Clinic
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
-
dba Lancaster Medical Services
- Rural Health Clinic/Center
- Lancaster, MO
- NPI 1407865132
Family Medicine
-
- Family Medicine Physician
- Wyaconda, MO
- NPI 1154529733
-
- Critical Access Hospital
- Memphis, MO
- NPI 1841364585
-
- Nurse Practitioner
- Quincy, IL
- NPI 1417204827
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Boone Hospital Center
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
Hospital
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
-
dba Elara Caring
- Home Health Agency
- Jefferson City, MO
- NPI 1255379145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1831109347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W NIFONG BLVD STE 101",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034469",
"telephone_number": "573-815-6640",
"fax_number": "573-815-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W NIFONG BLVD STE 101",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034469",
"telephone_number": "573-815-6640",
"fax_number": "573-815-6644"
}
],
"practiceLocations": [
{
"address_1": "326 N 24th St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623013140",
"country_code": "US",
"telephone_number": "217-224-6423",
"fax_number": "217-214-6299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORMIER",
"first_name": "MATTHEW",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2000146084",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036101781",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "244999512",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.