Active NPI 1336156074 Individual Practitioner Male Practitioner

Dr. James T Mccormick , DO

Colon & Rectal Surgery • Monroeville, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Mccormick, DO is a certified Colon & Rectal Surgery practicing in Monroeville, PA. With approximately 28 years of clinical experience since graduating from Lake Erie College Of Osteopathic Medicine, Erie in 1998, Dr. Mccormick delivers high-quality medical care to the local community at 2566 HAYMAKER RD STE 304.

Dr. Mccormick is affiliated with Allegheny Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, diagnostic exam of lower portion of large bowel using a flexible endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2566 Haymaker Rd Ste 304

Monroeville, PA 151463555

Telephone 4124570040

Fax 4124570050

Medicare Profile & Education

Medical School

Lake Erie College Of Osteopathic Medicine, Erie

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Monroeville, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +2.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Monroeville, PA (126 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mccormick (28 Years) 28 Yrs

Monroeville Specialty Average (26.0 Years) 26.0 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	49	40	$260.61	$88.17
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	42	32	$531.19	$172.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$631.80	$214.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	27	$226.12	$76.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	17	$370.00	$124.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$497.71	$168.68
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	16	16	$533.38	$179.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$376.29	$127.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$516.17	$176.12
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	11	11	$5234.18	$1748.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	27	$230.20	$77.61
99213 Established patient office or other outpatient visit, typically 15 minutes	32	23	$264.25	$87.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	27	$374.39	$123.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$648.62	$214.17
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	23	18	$559.17	$179.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	18	$384.40	$127.65
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$513.00	$170.19
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	14	14	$545.71	$174.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	32	$259.55	$88.64
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	38	26	$566.26	$182.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	26	$367.22	$120.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$647.00	$218.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$204.29	$70.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	14	$298.00	$100.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	12	$387.50	$132.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	54	$261.00	$90.40
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	48	35	$553.00	$187.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	32	$370.00	$128.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	26	$201.00	$71.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$633.00	$220.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$562.00	$198.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$381.00	$134.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$518.00	$179.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$288.00	$102.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	39	$294.00	$107.83
99213 Established patient office or other outpatient visit, typically 15 minutes	50	43	$201.00	$73.82
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	49	35	$501.00	$171.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	37	37	$563.00	$206.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	22	$200.00	$71.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	20	$377.00	$138.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	16	$395.00	$144.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$556.00	$204.38
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$3148.00	$326.68
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$74.00	$19.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	44	$179.00	$71.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	40	$264.00	$103.59
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	49	32	$410.00	$165.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	29	$181.00	$70.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$511.00	$202.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$357.00	$131.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$341.00	$135.90
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	14	14	$484.00	$192.85
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	12	12	$4929.75	$1875.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	46	$175.80	$70.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	29	$261.94	$104.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	21	$180.27	$71.79
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	31	24	$402.42	$161.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	21	$340.67	$134.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$397.05	$160.45
44213 Partial release of large bowel and partial removal of large bowel using an endoscope	13	13	$481.46	$191.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$511.00	$202.15
44625 Closure of large or small bowel opening with bowel removal and reattachment	12	11	$2590.75	$872.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	43	$164.00	$70.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	26	$240.00	$103.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$370.00	$158.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$175.00	$70.80
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	20	20	$363.00	$158.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$337.00	$134.37
44207 Partial removal of large bowel and reattachment to rectum using an endoscope	11	11	$4603.00	$1749.62

Medical Specialties & State Licenses

CMS Verified: 2020-09-30

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License PA OS010297L

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

101364173 (PA)

Commercial Insurance / Payer ID Caqh

11821840

Hospital & Practice Group Affiliations

Allegheny Clinic

320 E N Ave, Pittsburgh, PA 152124756

Phone: 4123593901

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Cornelia Savopoulou , MD

Surgery - Surgical Critical Care

NPI 1629095591

Doctor of Medicine (M.D.)

Dr. Reece Dehaan , MD

Colon & Rectal Surgery

NPI 1649702333

Doctor of Medicine (M.D.)

Hannah Yaggi , PA-C

Physician Assistant - Surgical

NPI 1790229870

Physician Assistant (Certified)

Dr. Lourdes Castanon , MD

Surgery - Surgical Critical Care

NPI 1790913267

Doctor of Medicine (M.D.)

Dr. Elan Jeremitsky , MD

Surgery - Surgical Critical Care

NPI 1821050113

Doctor of Medicine (M.D.)

Dr. William Leukhardt , MD

Surgery - Surgical Critical Care

NPI 1851599948

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

✅

NPI Profile Active April 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 20, 2017

Registered at 2566 HAYMAKER RD STE 304, MONROEVILLE, PA 151463555 (Tel: 4124570040)

📍

Updated Business Mailing Address April 20, 2017

Registered at 2566 HAYMAKER RD STE 304, MONROEVILLE, PA 151463555 (Tel: 4124570040)

👤

Provider Name / Credentials Updated April 20, 2017

Recorded as JAMES MCCORMICK, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2017

Colon & Rectal Surgery (License #OS010297L in PA)

📍

Updated Practice Location January 16, 2017

Registered at 2566 HAYMAKER RD STE 304, MONROEVILLE, PA 151463555 (Tel: 4124570040)

📍

Updated Business Mailing Address January 16, 2017

Registered at 2566 HAYMAKER RD STE 304, MONROEVILLE, PA 151463555 (Tel: 4124570040)

✅

NPI Profile Active March 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 29, 2016

Registered at 320 E NORTH AVE STE 261, PITTSBURGH, PA 152124756 (Tel: 4123593901)

📍

Updated Business Mailing Address March 29, 2016

Registered at 4 ALLEGHENY CTR FL 4, PITTSBURGH, PA 152125255 (Tel: 4123305015)

👤

Provider Name / Credentials Updated March 29, 2016

Recorded as JAMES MCCORMICK, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2016

Colon & Rectal Surgery (License #OS010297L in PA)

🟢

Initial NPI Registration & Enumeration August 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. James Mccormick. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1336156074

Entity Type:

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

Enumeration Date: August 02, 2006

Last Update: September 30, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2566 Haymaker Rd Ste 304

Monroeville, PA 151463555

Phone: 4124570040

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.