DR. DANIEL R MCCORMACK (D.O.) – Allergy & Immunology Physician, NPI 1629076849
Allergy & Immunology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
78 ALLERGY/IMMUNOLOGY in IN
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Provider Addresses for DR. DANIEL R MCCORMACK (D.O.)
Allergy & Asthma of Southern Indiana, P.C., 485, South Landmark Avenue, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IN 474035005
Phone: (812) 334-1198
Fax: (812) 334-1199
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2010-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20100726000296 | I | Allergy/Immunology | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 4,030 | 156 | $0 |
| 95004 | Test for allergy using allergenic extract | 3,337 | 49 | $0 |
| 95117 | Professional service for multiple injections of allergen | 2,391 | 133 | $0 |
| 95024 | Test for allergy using allergenic extract injected into skin | 595 | 43 | $0 |
| 95012 | Test to measure the level of nitric oxide gas | 138 | 103 | $0 |
Insurance plans in this area (ZIP 47403)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ALLERGY/IMMUNOLOGY | IN | 90670 | Pneumococcal vaccine for injection into muscle | 35 | 35 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A L L E R G Y/ I M M U N O L O G Y | OH | |
| A L L E R G Y/ I M M U N O L O G Y | AR | |
| A L L E R G Y/ I M M U N O L O G Y | KY | |
| A L L E R G Y/ I M M U N O L O G Y | TN | |
| Allergy/Immunology, Pediatric Medicine | KY | |
| A L L E R G Y/ I M M U N O L O G Y | KY | |
| Nurse Practitioner | KY | |
| A L L E R G Y/ I M M U N O L O G Y | AR | |
| - | KY | |
| A L L E R G Y/ I M M U N O L O G Y | IN |
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