KATHERINE MCCORMICK (M.D) – Obstetrics & Gynecology Physician, NPI 1093147241

KATHERINE MCCORMICK (M.D) is a healthcare provider. based in Muskegon, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D. They hold a License No. 4301103902 (MI). The NPI Number for KATHERINE MCCORMICK (M.D) is 1093147241

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE MCCORMICK (M.D)
NPI
1093147241
Phone
(231) 672-6600
Address
1500 E Sherman Blvd Fl 4
Enumeration Date
30 July 2013
Last Update Date
22 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2316723300
Graduation Year
2013 (13 years ago)
PAC ID
6901035872
Group Practice PAC ID
1052594462
Professional Enrollment ID
I20170720000836
Address ID
MI494425500MU1675XSTXX309
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,734 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for KATHERINE MCCORMICK (M.D)

  • 1500 E Sherman Blvd Fl 4

    Muskegon, MI 494441849

    Phone: (231) 672-6600

    Fax: (231) 672-4695

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 212 S SULLIVAN AVE

    FREMONT, MI 494121548

    Phone: (231) 924-1212

    Type: Location

  • 212 S Sullivan Ave

    Fremont, MI 494121548

    Phone: (231) 924-1212

    Type: Location

  • 1675 LEAHY ST STE 428

    MUSKEGON, MI 494425544

    Phone: (231) 672-3300

    Fax: (231) 672-3380

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $1,063.

Total Amount is formed as General ($1,063) + Research ($0) + Ownership ($0) = $1,063.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($132).

Total Amount

$1,063

General + Research + Ownership

Payments

46

Total payment records

General Amount

$1,063

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

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: 2017-07-20

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
I20170720000836IObstetrics/GynecologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49444)

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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: 1052594462View full group profile
NameSpecialtyState
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

What is KATHERINE MCCORMICK (M.D)'s NPI number?
KATHERINE MCCORMICK (M.D)'s NPI is 1093147241 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KATHERINE MCCORMICK (M.D)?
For scheduling context, KATHERINE MCCORMICK (M.D) is shown as active in the registry.
What expertise is attributed to KATHERINE MCCORMICK (M.D)?
KATHERINE MCCORMICK (M.D)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where in Michigan is KATHERINE MCCORMICK (M.D) registered?
Use Muskegon, Michigan as the headline location for KATHERINE MCCORMICK (M.D) here.
Does KATHERINE MCCORMICK (M.D) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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