PAUL MICHAEL MCCOY (PA-C) – Physician Assistant, NPI 1649550518
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $111 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120918000747 | I | Physician Assistant | IA | TBD |
| I20150129001739 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 131 | 129 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 82 | 81 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 22 | 21 | $0 |
Insurance plans in this area (ZIP 64506)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 12 | 12 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Orthopedic Surgery | IA | |
| - | SC | |
| Physical Therapist In Private Practice | IA | |
| - | IA | |
| Orthopedic Surgery | IL | |
| Physical Therapist In Private Practice | IA | |
| Orthopedic Surgery | IA | |
| Physician Assistant | IA | |
| Orthopedic Surgery | IL |
Reviews
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