STANLEY ROYCE MCCORMICK (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1073506135

STANLEY ROYCE MCCORMICK (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 30823 (MN). The NPI Number for STANLEY ROYCE MCCORMICK (MD) is 1073506135

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
STANLEY ROYCE MCCORMICK (MD)
NPI
1073506135
Phone
(612) 767-8370
Address
2800 10TH AVE S STE 2200
Enumeration Date
24 August 2005
Last Update Date
26 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Secondary Phone
6127678370
Graduation Year
1979 (47 years ago)
PAC ID
0042202061
Group Practice PAC ID
2668464652
Professional Enrollment ID
I20100310000940
Address ID
MN554071311MI2800XSXXX457
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

518 PATHOLOGY in MN

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Provider Addresses for STANLEY ROYCE MCCORMICK (MD)

  • 2200, 10th Avenue South, Phillips West, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States

    HOSPITAL PATHOLOGY ASSOC

    MINNEAPOLIS, MN 554071311

    Phone: (612) 767-8370

    Fax: (612) 767-8376

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-03-10

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
I20100310000940IPathologyMNTBD

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
88341Special stained specimen slides to examine tissue, each additional procedure34161$0
88313Special stained specimen slides to examine tissue including interpretation and report25559$0
88305Pathology examination of tissue using a microscope, intermediate complexity12677$0
88360Microscopic genetic analysis of tumor, manual11271$0
85060Blood smear interpretation by physician with written report9492$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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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: 2668464652View full group profile
NameSpecialtyState
P A T H O L O G YMN
P A T H O L O G YMN
P A T H O L O G YMN
P A T H O L O G YMN
P A T H O L O G YMN
P A T H O L O G YIL
P A T H O L O G YMN
-MN
-MN
P A T H O L O G YIL

Reviews

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Frequently asked questions

Can I verify STANLEY ROYCE MCCORMICK (MD) with an NPI only?
You can start verification with NPI 1073506135 for STANLEY ROYCE MCCORMICK (MD), then check state licensing separately.
Is STANLEY ROYCE MCCORMICK (MD) still practicing?
STANLEY ROYCE MCCORMICK (MD) is currently listed as active in the public NPI registry.
What is STANLEY ROYCE MCCORMICK (MD)'s specialty?
The listing groups STANLEY ROYCE MCCORMICK (MD) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where is STANLEY ROYCE MCCORMICK (MD) based?
STANLEY ROYCE MCCORMICK (MD) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about STANLEY ROYCE MCCORMICK (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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