BARRY DODD MCCORMICK (PA-C) – Physician Assistant, NPI 1952492076

BARRY DODD MCCORMICK (PA-C) is a healthcare provider. based in South boston, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110002391 (VA). The NPI Number for BARRY DODD MCCORMICK (PA-C) is 1952492076

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
BARRY DODD MCCORMICK (PA-C)
NPI
1952492076
Phone
(434) 572-4074
Address
422 HAMILTON BLVD
Enumeration Date
27 September 2006
Last Update Date
11 September 2023

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4345724074
Graduation Year
2006 (20 years ago)
PAC ID
8820096357
Group Practice PAC ID
1254311558
Professional Enrollment ID
I20061117000143
Address ID
VA245925200SO422XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for BARRY DODD MCCORMICK (PA-C)

  • 422 HAMILTON BLVD

    SOUTH BOSTON, VA 245925200

    Phone: (434) 572-4074

    Type: Mailing

  • 422 Hamilton Blvd

    South Boston, VA 245925200

    Phone: (434) 572-4074

    Type: Location

  • Philpott Road, South Boston, Halifax County, Virginia, 24592, United States

    SOUTH BOSTON, VA 245926630

    Phone: (434) 517-1114

    Type: Mailing

  • Sentara Halifax Regional Hospital, 2204, Wilborn Avenue, South Boston, Halifax County, Virginia, 24592, United States

    SOUTH BOSTON, VA 245921645

    Phone: (434) 517-3123

    Type: Location

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: 2006-11-17

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
I20061117000143IPhysician AssistantVATBD

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
99285Emergency department visit with high level of medical decision making194187$0
99284Emergency department visit with moderate level of medical decision making141135$0
99213Established patient office or other outpatient visit, 20-29 minutes13571$0
99203New patient office or other outpatient visit, 30-44 minutes4242$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg3617$0
View full utilization report →

Insurance plans in this area (ZIP 24592)

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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: 1254311558View full group profile
NameSpecialtyState
Nurse PractitionerVA
General SurgeryVA
Sports Medicine, Orthopedic SurgeryVA
Orthopedic SurgeryVA
Nurse PractitionerVA
Diagnostic RadiologyVA
General SurgeryVA
-VA
-VA
Diagnostic RadiologyVA

Reviews

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Frequently asked questions

Is BARRY DODD MCCORMICK (PA-C) listed with a National Provider Identifier?
Yes — BARRY DODD MCCORMICK (PA-C) has NPI 1952492076 on file in the registry.
Would BARRY DODD MCCORMICK (PA-C) appear as active to a payer?
You can treat BARRY DODD MCCORMICK (PA-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe BARRY DODD MCCORMICK (PA-C)'s focus?
For BARRY DODD MCCORMICK (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with BARRY DODD MCCORMICK (PA-C)?
Directory geography for BARRY DODD MCCORMICK (PA-C) centers on South Boston, Virginia.
When was this NPI issued?
Enumeration for BARRY DODD MCCORMICK (PA-C) is noted as September 27, 2006 where the registry provides it.

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