Gregory Michael McCormick, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MED-PHYS-LIC-146597 Issued in MT

Practice address

334 Town Center Ave
Big Sky, MT 59716

Phone

(406) 414-5000

NPI assigned

Mar 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK, MT2 enrollments

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 2

Specialty

Emergency Medicine

Education

Boston University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ketchikan Emergency Physicians, LLC 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ketchikan Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Ketchikan, AK
  • NPI 1801690854

  AK, Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Bozeman Health Big Sky Medical Center, LLC

  • Family Medicine Physician
  • Big Sky, MT
  • NPI 1740659952

  MT

  Medicare reassignment NPD
• SCL Health Medical Group-Butte LLC

  • Family Medicine Physician
  • Butte, MT
  • NPI 1477869600

  MT

  Medicare reassignment NPD
• Nes Washington, Inc.

  • Emergency Medicine Physician
  • Ketchikan, AK
  • NPI 1215239595

  AK, Emergency Medicine

  Medicare reassignment NPD
• Peacehealth

  • Critical Access Hospital
  • Ketchikan, AK
  • NPI 1396705539

  AK

  Medicare reassignment NPD
• Bozeman Health Big Sky Medical Center, LLC

  • Critical Access Hospital
  • Big Sky, MT
  • NPI 1588141048
  NPD
• SCL Health Medical Group-Butte LLC

  • Rural Health Clinic/Center
  • Boulder, MT
  • NPI 1861031122
  NPD

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

• Peacehealth

  • Critical Access Hospital
  • Ketchikan, AK
  • NPI 1396705539

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1962080291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 TOWN CENTER AVE",
            "city": "BIG SKY",
            "state": "MT",
            "postal_code": "59716",
            "telephone_number": "406-414-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cooper Plz",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031461",
            "country_code": "US",
            "telephone_number": "856-342-2352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-225-5171",
            "fax_number": "907-370-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-146597",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "217900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Lightbody, BCBA
• Lone Peak Physical Therapy Inc
• Lone Peak Physical Therapy Inc.
• Tyler Martinez, DO
• Elizabeth A McClure, M.D.
• Casey McGowan, M.D.
• Medical Clinic of Big Sky P.C.
• Jeremy Philip Mitchell, DO
• Christia Anderson Monroe, RPT
• Montana Rural Family Medicine, PLLC

• All providers in Big Sky, MT
• Emergency Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.