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    OpenPayerNPI Medicare & MedicaidGregory Mccormick
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    Gregory Mccormick — Billing Profile & Reimbursement Data

    NPI 1508817446 · South Burlington, VT · Ophthalmology Physician

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    Gregory Mccormick is a ophthalmology physician provider located in South Burlington, Vermont. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGregory Mccormick
    Address54 Timber Ln
    CitySouth Burlington
    StateVT
    ZIP05403
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 15, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$282.6K
    Medicaid$0

    Key Findings

    GREGORY MCCORMICK is an Ophthalmology Physician in SOUTH BURLINGTON, VT with an NPI enumerated on 2006-05-15 (~20 years ago) and lifetime Medicare revenue of $282.6K. There is no Medicaid billing on file for this provider, so Medicare is the sole public payer represented in the dataset.

    Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes by revenue account for 80.3% of this provider's total Medicare revenue. The single largest line item is 66984 (3.3K claims, $54 avg paid/claim, $177.2K revenue), which alone represents 62.5% of Medicare revenue, followed by 99204 ($30.8K revenue, 10.9% of total) and 66821 ($19.7K revenue, 6.9% of total).

    The code mix indicates a practice centered on cataract surgery and its perioperative workflow: 66984 (phacoemulsification with intraocular lens insertion) is the dominant procedure and is complemented by 66821 (YAG capsulotomy) and 92136 (biometry, 445 claims, $13.8K revenue). These elements together suggest the provider routinely performs cataract operations and associated pre‑ and post‑operative diagnostics and laser follow-up rather than a broad mix of general ophthalmic subspecialty procedures.

    Competitive standing by code shows above‑typical national activity for the top revenue drivers: 66984 ranks #407 of 15965 providers nationally (97th percentile; notably above typical national volume for this code), and 99204 ranks #1540 of 227068 providers nationally (99th percentile; extreme outlier). By contrast, 66821 ranks #3203 of 10087 providers nationally (68th percentile; typical, unremarkable volume), indicating that while cataract extraction volume is high, some follow‑on or complex procedure rates are closer to typical peer levels.

    High-volume, high-acuity office visits are a meaningful revenue contributor: 99204 appears as a prominent non‑procedural code (285 claims, $108 avg paid/claim, $30.8K revenue) and is labeled an "extreme outlier," which is consistent with heavy new‑patient consults or referral evaluations that may feed surgical volume. This pattern implies significant intake of new surgical or consult patients, which has operational implications for clinic throughput and referral relationships.

    Ancillary and diagnostic services show mixed but generally typical volumes: comprehensive established exams (92014: 208 claims, $17.3K revenue, 6.1% of Medicare revenue) and imaging codes such as 92134 and 92133 appear at routine percentiles (68th and 57th respectively), supporting a practice that couples surgical throughput with standard diagnostic follow‑up rather than high volumes of advanced imaging.

    The provider’s surgical complexity mix is skewed toward standard cataract technique: 66982 (complex extracapsular cataract with devices, 14 claims, $7.5K revenue, 2.6% of Medicare revenue) ranks #4187 of 4580 providers nationally (5th percentile; typical, unremarkable volume), suggesting limited use of more complex cataract procedures or devices relative to peers. This concentration in standard phacoemulsification (66984) with lower rates of complex technique has implications for case mix, equipment needs, and referral patterns.

    From a payer‑strategy and access perspective, the absence of any Medicaid billing on file combined with $282.6K in Medicare receipts means the provider effectively operates with a single public‑payer footprint in this dataset. That concentration may matter for contract negotiations, network adequacy assessments, and analyses of the provider’s service availability to lower‑income populations in Vermont.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…3,280$50$177.2K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…290$110$30.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.80$260$19.7K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…210$80$17.3K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…450$30$13.8K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…10$540$7.5K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…100$60$6.3K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.140$30$3.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…20$90$2.2K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…50$50$2.1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984120180$210$121.4K
    66982121030$630$21.3K
    9201447100200$80$19.6K
    6682132050$250$13.2K
    9921482196090$70$10.6K
    92012145050$60$5.8K
    92136220180$30$5.6K
    92134229050$20$4.3K
    99204333030$100$4.1K
    92083509060$40$2.8K

    Showing 1–10 of 14

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Gregory Mccormick, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vermont Eye Surgery & Laser CenterVTAmbulatory Surgical Clinic/Center$1.8M$2.7K
    Peter RapozaMAOphthalmology Physician$494.1K$0
    Joshua HardinVAOphthalmology Physician$413.3K$0
    Ellen KooFLOphthalmology Physician$404.7K$0
    Praveen KeshavaVTOphthalmology Physician$331.9K$0
    Katherine LaneVTOphthalmology Physician$201.9K$0
    Juli LarsonVTOphthalmology Physician$161.8K$0
    Robert McglynnORGlaucoma Specialist (Ophthalmology) Physician$144.4K$0
    Jillian KaplitaCTOphthalmology Physician$140K$0
    Pete SpitellieVTAnesthesiology Physician$96.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Gregory Mccormick, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nfi Vermont, IncVTClinic/Center$0$33.6M
    Bla Partners, LLCVTClinical Medical Laboratory$0$15.2M
    Timberlane Dental GroupVTOrthodontics and Dentofacial Orthopedics Dentistry$0$7.5M
    Tms Vt, LLCVTDurable Medical Equipment & Medical Supplies$0$2.9M
    Michelle YoungVTOphthalmology Physician$2.1M$0
    Howard Center IncVTPsychiatry Physician$0$2M
    David WeissgoldVTOphthalmology Physician$1.7M$0
    Surgi-care IncVTProsthetic/Orthotic Supplier$0$1.7M
    City Of So BurlingtonVTAmbulance$400.9K$1M
    Green Mountain Pediatric Dentistry, PLLCVTPediatric Dentistry$0$1.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Vermont Distribution
    Gregory Mccormick — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont