MR. NIKOLAI MCKOY (CAA) – Anesthesiologist Assistant, NPI 1104448059
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
357 ANESTHESIOLOGY ASSISTANT in MO
Provider Addresses for MR. NIKOLAI MCKOY (CAA)
339 CONSORT DR
BALLWIN, MO 630114439
Phone: (636) 386-9224
Fax: (636) 386-7679
Type: Mailing
615 S NEW BALLAS RD
SAINT LOUIS, MO 631418221
Phone: (636) 386-9224
Fax: (636) 386-7679
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: 2025-07-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210126000739 | I | Anesthesiology Assistant | FL | TBD |
| I20250723004119 | I | Anesthesiology Assistant | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 23 | 23 | $0 |
| 00537 | Anesthesia for procedure to assess heart electrical activity | 15 | 15 | $0 |
| 00732 | Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope | 12 | 12 | $0 |
| 00670 | Anesthesia for extensive surgery on spine | 11 | 11 | $0 |
Insurance plans in this area (ZIP 63011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | GA | |
| Anesthesiology Assistant | NC | |
| Anesthesiology Assistant | WI | |
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | AP | |
| A N E S T H E S I O L O G Y | GA | |
| Anesthesiology Assistant | WI | |
| Anesthesiology, Internal Medicine | GA | |
| A N E S T H E S I O L O G Y | GA |
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