MIRJAM MCCORMACK (MD) – Anesthesiology Physician, NPI 1891716163

MIRJAM MCCORMACK (MD) is a healthcare provider. based in Morrisville, Vermont. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 0420010794 (VT). The NPI Number for MIRJAM MCCORMACK (MD) is 1891716163

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MIRJAM MCCORMACK (MD)
NPI
1891716163
Phone
Not provided
Address
528 WASHINGTON HWY
Enumeration Date
22 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8027757111
Graduation Year
2000 (26 years ago)
PAC ID
2769432616
Group Practice PAC ID
7214846377
Professional Enrollment ID
I20050127000882
Address ID
VT057014560RU160XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

148 ANESTHESIOLOGY in VT

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Provider Addresses for MIRJAM MCCORMACK (MD)

  • Copley Hospital, 528, Washington Highway, Morrisville, Morristown, Lamoille County, Vermont, 05661, United States

    MORRISVILLE, VT 056618973

    Phone:

    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: 2014-01-09

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050127000882IAnesthesiologyVTTBD
I20140109000015IAnesthesiologyNYTBD

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
00812Anesthesia for exam of colon using an endoscope3030$0
View full utilization report →

Insurance plans in this area (ZIP 05661)

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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: 7214846377View full group profile
NameSpecialtyState
Orthopedic SurgeryVT
Orthopedic SurgeryVT
-VT
Pulmonary Disease, Critical Care (Intensivists)DE
Internal MedicineVT
O B S T E T R I C S/ G Y N E C O L O G YDC
Hospitalist, Internal MedicineMA
Emergency MedicineVT
Certified Registered Nurse Anesthetist (Crna)FL
-VT

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Frequently asked questions

What identifier follows MIRJAM MCCORMACK (MD) across health systems?
The NPI 1891716163 uniquely identifies MIRJAM MCCORMACK (MD) in U.S. healthcare data.
Is MIRJAM MCCORMACK (MD) currently accepting referrals based on NPI status?
Registry metadata lists MIRJAM MCCORMACK (MD) as active.
What services align with MIRJAM MCCORMACK (MD)'s listing?
MIRJAM MCCORMACK (MD)'s public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MIRJAM MCCORMACK (MD)?
MIRJAM MCCORMACK (MD) is associated with Morrisville, Vermont in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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