PAUL MICHAEL MCCOY (PA-C) – Physician Assistant, NPI 1649550518

PAUL MICHAEL MCCOY (PA-C) is a healthcare provider. based in St. joseph, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2011025935 (MO). The NPI Number for PAUL MICHAEL MCCOY (PA-C) is 1649550518

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
PAUL MICHAEL MCCOY (PA-C)
NPI
1649550518
Phone
(816) 233-9888
Address
3107 FREDERICK AVE.
Enumeration Date
24 August 2011
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3097623621
Graduation Year
2011 (15 years ago)
PAC ID
0547431165
Group Practice PAC ID
6406741784
Professional Enrollment ID
I20150129001739
Address ID
IL612656194MO520XXDRXX400

Contacts

Secure Messaging
paul.mccoy@direct.genesishealth.com
Secure Messaging
pmcco@vdmc.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness95
Years active:14State licenses:3Other names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for PAUL MICHAEL MCCOY (PA-C)

  • 3107 FREDERICK AVE.

    ORTHOPEDIC & SPORTS MEDICINE CENTER

    ST. JOSEPH, MO 645062911

    Phone: (816) 233-9888

    Fax: (816) 233-0414

    Type: Location

  • 2300 53RD AVE STE 100

    BETTENDORF, IA 527227565

    Phone: (563) 322-0971

    Type: Mailing

  • 1227 E RUSHOLME ST

    DAVENPORT, IA 528032459

    Phone: (563) 421-7681

    Type: Location

  • 5250 COMPETITION DR STE 100

    BETTENDORF, IA 527228837

    Phone: (563) 322-0971

    Fax: (563) 324-0615

    Type: Mailing

  • 1227 E Rusholme St

    Davenport, IA 528032459

    Phone: (563) 421-7681

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($111).

Total Amount

$111

General + Research + Ownership

Payments

1

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-01-29

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
I20120918000747IPhysician AssistantIATBD
I20150129001739IPhysician AssistantILTBD

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 making131129$0
99284Emergency department visit with moderate level of medical decision making8281$0
99283Emergency department visit with low level of medical decision making2221$0
View full utilization report →

Insurance plans in this area (ZIP 64506)

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Provider's Procedures

PAUL MICHAEL MCCOY (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMO36556Insertion of central venous catheter for infusion, patient 5 years or older1212

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: 6406741784View full group profile
NameSpecialtyState
-MI
Orthopedic SurgeryIA
-SC
Physical Therapist In Private PracticeIA
-IA
Orthopedic SurgeryIL
Physical Therapist In Private PracticeIA
Orthopedic SurgeryIA
Physician AssistantIA
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

Can I verify PAUL MICHAEL MCCOY (PA-C) with an NPI only?
You can start verification with NPI 1649550518 for PAUL MICHAEL MCCOY (PA-C), then check state licensing separately.
Is PAUL MICHAEL MCCOY (PA-C) listed as active for patients and plans?
The listing shows PAUL MICHAEL MCCOY (PA-C) as active in the NPI system.
What healthcare role does PAUL MICHAEL MCCOY (PA-C) hold?
Scheduling teams often label PAUL MICHAEL MCCOY (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does PAUL MICHAEL MCCOY (PA-C) serve?
PAUL MICHAEL MCCOY (PA-C)'s listing highlights St. Joseph, Missouri; more addresses can appear in NPPES.
Is the information about PAUL MICHAEL MCCOY (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."