JOHN TUCKER MCCORMICK (PA-C) – Medical Physician Assistant, NPI 1477066926
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
627 PHYSICIAN ASSISTANT in AR
Provider Addresses for JOHN TUCKER MCCORMICK (PA-C)
4375 N VANTAGE DR STE 305
FAYETTEVILLE, AR 727034984
Phone: (479) 443-5100
Fax: (479) 443-5117
Type: Mailing
Willow Grove, Worcester County, Maryland, United States
WILLOW GROVE, PA 190901225
Phone: (154) 814-1432
Fax: (215) 481-6790
Type: Mailing
Old York Road, Mount Vernon Gardens, Abington, Abington Township, Montgomery County, Pennsylvania, 19046, United States
ABINGTON, PA 190013720
Phone: (215) 481-2222
Fax: (215) 481-4361
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,499.
Total Amount is formed as General ($1,499) + Research ($0) + Ownership ($0) = $1,499.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($447).
Total Amount
$1,499
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,499
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $447 |
| GENZYME CORPORATION | $195 |
| Janssen Biotech, Inc. | $191 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $147 |
| Lilly USA, LLC | $126 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171229000614 | I | Physician Assistant | AR | TBD |
| I20211111001007 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72703)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| Physician Assistant | AR | |
| Nurse Practitioner | AR | |
| D E R M A T O L O G Y | LA | |
| Emergency Medicine, Dermatology | AR | |
| Nurse Practitioner | AR | |
| D E R M A T O L O G Y | AR |
Reviews
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