KEITH MCCOY (MD) – Emergency Medicine Physician, NPI 1508809062

KEITH MCCOY (MD) is a healthcare provider. based in Baltimore, Maryland. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 14193 (MS). The NPI Number for KEITH MCCOY (MD) is 1508809062

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KEITH MCCOY (MD)
NPI
1508809062
Phone
(904) 805-1300
Address
PO BOX 75473
Enumeration Date
13 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
2055571300
Graduation Year
1990 (36 years ago)
PAC ID
2860458643
Group Practice PAC ID
1254674492
Professional Enrollment ID
I20120626000456
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for KEITH MCCOY (MD)

  • PO BOX 75473

    BALTIMORE, MD 212755473

    Phone: (904) 805-1300

    Fax: (904) 805-1302

    Type: Mailing

  • 5th Street, Columbus, Bartholomew County, Indiana, United States

    COLUMBUS, MS 397052008

    Phone: (904) 805-1300

    Fax: (904) 805-1302

    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: 2012-06-26

PECOS data refreshed: 2026-06-15

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
I20041203000163IEmergency MedicineMSTBD
I20120626000456IEmergency MedicineALTBD

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 making862765$0
99284Emergency department visit with moderate level of medical decision making311280$0
99291Critical care, first 30-74 minutes243236$0
View full utilization report →

Insurance plans in this area (ZIP 21275)

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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: 1254674492View full group profile
NameSpecialtyState
-AL

Reviews

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Frequently asked questions

What number should I use to identify KEITH MCCOY (MD) for billing?
Administrative and clinical systems typically use NPI 1508809062 for KEITH MCCOY (MD).
Is KEITH MCCOY (MD) currently accepting referrals based on NPI status?
Registry metadata lists KEITH MCCOY (MD) as active.
What does the directory say KEITH MCCOY (MD) does?
Insurance directories may phrase it differently, but here KEITH MCCOY (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEITH MCCOY (MD)?
KEITH MCCOY (MD) is associated with Baltimore, Maryland 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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