KEVIN MCCORMICK (MD) – Internal Medicine Physician, NPI 1043215486

KEVIN MCCORMICK (MD) is a healthcare provider. based in Kentwood, Michigan. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301063089 (MI). The NPI Number for KEVIN MCCORMICK (MD) is 1043215486

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN MCCORMICK (MD)
NPI
1043215486
Phone
(616) 391-5600
Address
4444 KALAMAZOO AVE SE
Enumeration Date
14 June 2005
Last Update Date
10 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
2062554843
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20100115000639
Address ID
MI495463808GR5060XSEXX401

Contacts

Secure Messaging
kevin.mccormick@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

7,218 INTERNAL MEDICINE in MI

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Provider Addresses for KEVIN MCCORMICK (MD)

  • Kalamazoo Avenue Southeast, Kentwood, Kent County, Michigan, 49316, United States

    KENTWOOD, MI 495084600

    Phone: (616) 391-5600

    Fax: (616) 391-5685

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-10-09 • Largest payer in this snapshot: Medtronic, Inc. ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$31
View all Open Payments →|Open Payments Risk Radar →

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: 2010-01-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100115000639IInternal MedicineMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes191107$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit8181$0
83036Hemoglobin a1c level7035$0
99213Established patient office or other outpatient visit, 20-29 minutes3934$0
G0008Administration of influenza virus vaccine3635$0
View full utilization report →

Insurance plans in this area (ZIP 49508)

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Provider's Procedures

KEVIN MCCORMICK (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMI83036Hemoglobin A1C level2419
INTERNAL MEDICINEMI90670Pneumococcal vaccine for injection into muscle2929

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

How is KEVIN MCCORMICK (MD) identified in CMS data?
CMS-hosted NPPES data lists KEVIN MCCORMICK (MD) with NPI 1043215486.
Does CMS list KEVIN MCCORMICK (MD) as active?
Yes — KEVIN MCCORMICK (MD) is active in the NPI listing used on this page.
What is KEVIN MCCORMICK (MD) best known for clinically?
Directory data describes KEVIN MCCORMICK (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does KEVIN MCCORMICK (MD) serve?
KEVIN MCCORMICK (MD)'s listing highlights Kentwood, Michigan; more addresses can appear in NPPES.
Why does KEVIN MCCORMICK (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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