JUSTIN L MCCOY (MD) – Diagnostic Radiology Physician, NPI 1508912403

JUSTIN L MCCOY (MD) is a healthcare provider. based in Okla city, Oklahoma. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY, OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. C178579 (CA). The NPI Number for JUSTIN L MCCOY (MD) is 1508912403

Main info

Male
22 Years Of Experience
Name
JUSTIN L MCCOY (MD)
NPI
1508912403
Phone
(405) 945-4710
Address
3330 NW 56TH
Enumeration Date
25 January 2007
Last Update Date
6 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5016868000
Graduation Year
2004 (22 years ago)
PAC ID
6800995812
Group Practice PAC ID
4082528955
Professional Enrollment ID
I20230424002161
Address ID
AR722057101LI4301XSTXX400

Contacts

FHIR Endpoint
https://memorialcare.org/fhir/api/FHIR/R4/
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness95
Years active:19State licenses:1Other names

384 DIAGNOSTIC RADIOLOGY in OK

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Provider Addresses for JUSTIN L MCCOY (MD)

  • 3330, Northwest 56th Street, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States

    SUITE 206

    OKLA CITY, OK 731124426

    Phone: (405) 945-4710

    Fax: (405) 562-9242

    Type: Mailing

  • 1 Capital Way

    Pennington, NJ 085342520

    Phone: (609) 303-4000

    Type: Location

  • 2801 ATLANTIC AVE

    LONG BEACH, CA 908061701

    Phone: (562) 933-1550

    Type: Mailing

  • 750 Brunswick Ave

    Trenton, NJ 086384143

    Phone: (609) 394-6000

    Type: Location

  • 1100 Marshall Way

    Placerville, CA 956676533

    Phone: (530) 626-2613

    Type: Location

  • 3330 NW 56th

    Suite 206

    Okla City, OK 731124426

    Phone: (405) 945-4710

    Fax: (405) 562-9242

    Type: Location

  • 310 Salem Woodstown Rd

    Salem, NJ 080792064

    Phone: (856) 935-1000

    Type: Location

  • 4301 W Markham St # 553

    Little Rock, AR 722057101

    Phone: (501) 296-1095

    Fax: (501) 526-5919

    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: 2025-06-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 9 Medicare enrollment records; no due dates published yet.

Enrollment records

9

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
I20070615000231IDiagnostic RadiologyOKTBD
I20221025000186IDiagnostic RadiologyNJTBD
I20230206001511IDiagnostic RadiologyHITBD
I20230330001039IDiagnostic RadiologyCATBD
I20230424002161IDiagnostic RadiologyARTBD
I20240709003464IDiagnostic RadiologyTXTBD
I20250410002107IDiagnostic RadiologyPATBD
I20250418000477IDiagnostic RadiologyILTBD
I20250619002335IDiagnostic RadiologyNVTBD

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
71045X-ray of chest, 1 view1,7291,180$0
70450Ct scan head or brain without contrast719608$0
74177Ct scan of abdomen and pelvis with contrast341318$0
74176Ct scan of abdomen and pelvis without contrast244235$0
77063Screening 3d breast mammography227227$0
View full utilization report →

Insurance plans in this area (ZIP 73112)

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Provider's Procedures

JUSTIN L MCCOY (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOK71010X-ray of chest, 1 view, front21481296
DIAGNOSTIC RADIOLOGYOK71250CT scan chest128125
DIAGNOSTIC RADIOLOGYOK73110X-ray of wrist, minimum of 3 views6058
DIAGNOSTIC RADIOLOGYOK73630X-ray of foot, minimum of 3 views7468
DIAGNOSTIC RADIOLOGYOK78815Nuclear medicine study with CT imaging skull base to mid-thigh9172
DIAGNOSTIC RADIOLOGYOK93922Ultrasound study of arteries of both arms and legs2925
DIAGNOSTIC RADIOLOGYOK93926Ultrasound study of arteries and arterial grafts of one leg or limited1212
DIAGNOSTIC RADIOLOGYOK93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers134128

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: 4082528955View full group profile
NameSpecialtyState
N E U R O L O G YAR
-AR
Internal MedicineNY
Internal Medicine, NephrologyAR
-AR
-AR
Nurse PractitionerAR
P S Y C H I A T R YAR
-AR
-AR

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Frequently asked questions

Where can patients find JUSTIN L MCCOY (MD)'s NPI?
You can confirm JUSTIN L MCCOY (MD) with NPI 1508912403; it appears in the national provider directory.
Is JUSTIN L MCCOY (MD) active in the national directory?
JUSTIN L MCCOY (MD)'s public NPI profile is in an active state.
Does JUSTIN L MCCOY (MD) list a primary specialty?
If you are matching referrals, note Diagnostic Radiology Physician for JUSTIN L MCCOY (MD). Clinical services aligned with this taxonomy classification.
Where is JUSTIN L MCCOY (MD)'s primary listing?
We display Okla City, Oklahoma because that is what the record indicates for JUSTIN L MCCOY (MD).
Is JUSTIN L MCCOY (MD) a real provider?
This page reflects official NPPES data for NPI 1508912403. Always confirm identity and privileges with the practice and licensing boards.

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