Active NPI 1629236229 Individual Practitioner Male Practitioner

Dr. Kelly R Mccormick , MD

Orthopaedic Surgery • Salem, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Mccormick, MD is a certified Orthopaedic Surgery practicing in Salem, OR. With approximately 20 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 2006, Dr. Mccormick delivers high-quality medical care to the local community at 1600 STATE ST.

Dr. Mccormick is affiliated with Salem Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of foot, minimum of 3 views, x-ray of ankle, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 State St

Salem, OR 973014257

Telephone 5035406300

Fax 5035406404

Associated Practice Facility / Clinic

🏢 Willamette Orthopedic Group Llc Facility NPI 1134145360

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Salem, OR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

20 Yrs -2.7 yrs vs City Avg

City Avg: 22.7 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

26 Specialists

Practicing in Salem, OR (360 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccormick (20 Years) 20 Yrs

Salem Specialty Average (22.7 Years) 22.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	101	$242.00	$89.01
73630 X-ray of foot, minimum of 3 views	120	94	$93.00	$33.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	51	$342.00	$126.32
73610 X-ray of ankle, minimum of 3 views	59	42	$100.00	$36.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$299.00	$109.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$445.00	$164.14
29405 Application of short leg cast	16	13	$214.00	$80.24
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	16	13	$244.00	$49.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$151.00	$55.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	95	64	$83.45	$32.86
99213 Established patient office or other outpatient visit, typically 15 minutes	72	57	$220.81	$86.84
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	68	12	$6.17	$1.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$313.69	$124.24
73610 X-ray of ankle, minimum of 3 views	38	31	$86.68	$35.76
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	19	15	$244.00	$48.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$273.67	$108.48
29405 Application of short leg cast	18	15	$257.67	$78.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$405.00	$153.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$136.31	$54.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	94	79	$83.51	$32.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	12	$7.00	$1.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	66	$266.38	$120.97
99213 Established patient office or other outpatient visit, typically 15 minutes	67	59	$192.31	$85.09
73610 X-ray of ankle, minimum of 3 views	48	42	$85.00	$35.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$405.00	$156.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$275.00	$107.50
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	16	12	$244.00	$44.60
29405 Application of short leg cast	16	11	$277.00	$75.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	108	85	$71.00	$32.97
99213 Established patient office or other outpatient visit, typically 15 minutes	95	84	$190.00	$84.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	56	$265.00	$124.99
73610 X-ray of ankle, minimum of 3 views	42	38	$85.00	$34.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$275.00	$108.96
29405 Application of short leg cast	24	16	$277.00	$71.56
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	24	16	$244.00	$38.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$405.00	$152.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	98	70	$71.00	$31.79
99213 Established patient office or other outpatient visit, typically 15 minutes	77	62	$190.00	$73.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	59	$265.00	$104.52
73610 X-ray of ankle, minimum of 3 views	47	36	$84.62	$34.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$405.00	$162.65
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	18	15	$244.00	$42.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$275.00	$106.27
29405 Application of short leg cast	17	14	$277.00	$78.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$115.00	$44.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	105	73	$71.00	$29.45
99213 Established patient office or other outpatient visit, typically 15 minutes	67	53	$190.00	$72.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	60	$265.00	$106.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$405.00	$162.29
73610 X-ray of ankle, minimum of 3 views	42	32	$76.00	$32.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	25	$115.00	$42.73
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	20	14	$244.00	$41.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$275.00	$103.14
29405 Application of short leg cast	15	11	$277.00	$80.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	102	75	$71.00	$28.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	86	$265.00	$103.66
99213 Established patient office or other outpatient visit, typically 15 minutes	89	60	$190.00	$70.72
73610 X-ray of ankle, minimum of 3 views	60	52	$75.10	$30.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$405.00	$160.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$275.00	$104.05
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	20	17	$244.00	$39.85
29405 Application of short leg cast	18	17	$277.00	$79.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73630 X-ray of foot, minimum of 3 views	92	68	$71.00	$27.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	72	$252.57	$101.44
99213 Established patient office or other outpatient visit, typically 15 minutes	74	61	$186.35	$68.83
73610 X-ray of ankle, minimum of 3 views	66	44	$75.18	$29.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$391.91	$157.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$269.57	$98.96
29405 Application of short leg cast	22	20	$277.00	$78.75
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass	20	18	$244.00	$40.36

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OR MD157529

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License PA MT189201

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

500647558 (OR)

Hospital & Practice Group Affiliations

Salem Health

1600 State St, Salem, OR 973014257

Phone: 5035615200

Secondary Practice Locations

5825 Shoreview Ln N

Keizer, OR 973033978

Phone: 5035406471

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Allison Mitchell , MD

Orthopaedic Surgery - Hand Surgery

NPI 1003279415

Doctor of Medicine (M.D.)

Dr. Andrew Hadeed , DO

Orthopaedic Surgery

NPI 1023416336

Doctor of Osteopathic Medicine (D.O.)

Kevin Bell , PA-C

Physician Assistant - Surgical

NPI 1033146402

Physician Assistant (Certified)

Curt Stilp , PA-C

Physician Assistant

NPI 1033191630

Physician Assistant (Certified)

Dr. Callen Marx , DPT

Physical Therapist

NPI 1033781505

Doctor of Physical Therapy

Kay Blachly , PT CHT

Physical Therapist

NPI 1043258080

PTCHT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 13, 2014

Registered at 1600 STATE ST, SALEM, OR 973014257 (Tel: 5035406300)

📍

Updated Business Mailing Address February 13, 2014

Registered at 1600 STATE ST, SALEM, OR 973014257 (Tel: 5035406300)

👤

Provider Name / Credentials Updated February 13, 2014

Recorded as KELLY MCCORMICK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2014

Orthopaedic Surgery (License #MT189201 in PA)

🟢

Initial NPI Registration & Enumeration May 30, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629236229

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 30, 2008

Last Update: June 10, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1600 State St

Salem, OR 973014257

Phone: 5035406300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.