TIMOTHY MCCOY (PA-C) – Surgical Physician Assistant, NPI 1063415818

TIMOTHY MCCOY (PA-C) is a healthcare provider. based in Toledo, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50000353 (OH). The NPI Number for TIMOTHY MCCOY (PA-C) is 1063415818

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY MCCOY (PA-C)
NPI
1063415818
Phone
(419) 291-5318
Address
2142 N COVE BLVD
Enumeration Date
24 May 2005
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4198241444
Graduation Year
1986 (40 years ago)
PAC ID
4789782939
Group Practice PAC ID
2365348190
Professional Enrollment ID
I20070612000168
Address ID
OH435602168SY5200XRDXX300

Contacts

Secure Messaging
tmccoy13477@epicdirect.promedica.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

5,032 PHYSICIAN ASSISTANT in OH

Loading map...

Provider Addresses for TIMOTHY MCCOY (PA-C)

  • ProMedica Toledo Hospital, 2142, North Cove Boulevard, Toledo, Lucas County, Ohio, 43606, United States of America

    9TH FLOOR

    TOLEDO, OH 436063895

    Phone: (419) 291-5318

    Fax: (419) 291-6430

    Type: Mailing

  • Hughes Drive, Westgate, Toledo, Lucas County, Ohio, 43606:43615, United States of America

    STE 720

    TOLEDO, OH 436065110

    Phone: (419) 291-2077

    Fax: (419) 291-2122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $2,389.

Total Amount is formed as General ($2,389) + Research ($0) + Ownership ($0) = $2,389.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($1,848).

Total Amount

$2,389

General + Research + Ownership

Payments

37

Total payment records

General Amount

$2,389

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2007-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070612000168IPhysician AssistantOHTBD

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
33533Coronary artery bypass using artery graft, 1 graft4343$0
33508Harvest of vein using an endoscope3939$0
33518Coronary artery bypass using vein or artery graft, 2 grafts2121$0
33405Replacement of aortic valve on heart-lung machine1212$0
33517Coronary artery bypass using vein or artery graft, 1 graft1212$0
View full utilization report →

Insurance plans in this area (ZIP 43606)

Loading plans...

Provider's Procedures

TIMOTHY 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 ASSISTANTOH33405Replacement of left lower heart chamber valve using artificial valve on heart-lung machine2525
PHYSICIAN ASSISTANTOH33533Heart artery bypass to repair one artery3838

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: 2365348190View full group profile
NameSpecialtyState
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
-OH
Nurse PractitionerOH
-OH
Certified Registered Nurse Anesthetist (Crna)TX
-OH
-OH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to TIMOTHY MCCOY (PA-C)?
NPI 1063415818 is assigned to TIMOTHY MCCOY (PA-C) under the national enumeration system.
Is TIMOTHY MCCOY (PA-C) currently active in the NPI registry?
CMS-published data lists TIMOTHY MCCOY (PA-C) as an active registrant.
What field does TIMOTHY MCCOY (PA-C) work in?
You can think of TIMOTHY MCCOY (PA-C) as practicing within Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for TIMOTHY MCCOY (PA-C)?
The page summarizes Toledo, Ohio for TIMOTHY MCCOY (PA-C); expand the address list for detail.
Is TIMOTHY MCCOY (PA-C) a real provider?
This page reflects official NPPES data for NPI 1063415818. Always confirm identity and privileges with the practice and licensing boards.

Similar Providers

MICHAEL L KUEHNE (PA)

Surgical Physician Assistant
Hughes Drive, Westgate, Toledo, Lucas County, Ohio, 43606:43615, United States
NPI: 1306849146

GAIL M EVANS (PA)

Surgical Physician Assistant
2045 N FRANKLIN ST
NPI: 1932105657

BRIAN J DUFFY (PA)

Medical Physician Assistant
2695 ROCKY MOUNTAIN AVE STE 150
NPI: 1053318378
3439, Granite Circle, Toledo, Lucas County, Ohio, 43617, United States
NPI: 1295722270
44201 Dequindre Rd
NPI: 1952345852

LAUREN G LUKASIK (PA)

Physician Assistant
Monroe Street, Franklin Park, Sylvania, Lucas County, Ohio, 43560, United States
NPI: 1407891294

BRYAN J RILEY (PAC)

Surgical Physician Assistant
2142 N Cove Blvd
NPI: 1932295201