NATHANIEL MCCOY (M.D.) – Internal Medicine Physician, NPI 1689973182

NATHANIEL MCCOY (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD169207 (OR). The NPI Number for NATHANIEL MCCOY (M.D.) is 1689973182

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL MCCOY (M.D.)
NPI
1689973182
Phone
Not provided
Address
PO BOX 3158
Enumeration Date
23 March 2011
Last Update Date
22 March 2021

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032156480
Graduation Year
2011 (15 years ago)
PAC ID
6204068380
Group Practice PAC ID
0648183608
Professional Enrollment ID
I20141217000709
Address ID
OR972132981PO5050XSTXX402
Telehealth
Yes

Contacts

Secure Messaging
nmccoy489767@oc.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

2,475 INTERNAL MEDICINE in OR

Provider Addresses for NATHANIEL MCCOY (M.D.)

  • PO BOX 3158

    PORTLAND, OR 972083158

    Phone:

    Type: Mailing

  • 1003 PROVIDENCE DR

    SUITE 210

    NEWBERG, OR 971327521

    Phone: (503) 537-5900

    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: 2014-12-17

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
I20141217000709IInternal MedicineORTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes192172$0
99214Established patient office or other outpatient visit, 30-39 minutes186142$0
G0008Administration of influenza virus vaccine5654$0
99213Established patient office or other outpatient visit, 20-29 minutes5246$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage4242$0
View full utilization report →

Insurance plans in this area (ZIP 97208)

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Provider's Procedures

NATHANIEL MCCOY (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOR90670Pneumococcal vaccine for injection into muscle5252

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: 0648183608View full group profile
NameSpecialtyState
Internal MedicineOR
Physician AssistantOR
-OR
N E U R O L O G YOR
Nurse PractitionerOR
Infectious Disease, Internal MedicineOR
Thoracic SurgeryOR
Nurse PractitionerOR
Physician AssistantWA
Clinical PsychologistOR

Reviews

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Frequently asked questions

How do payers reference NATHANIEL MCCOY (M.D.)?
For NATHANIEL MCCOY (M.D.), use NPI 1689973182 as the unique 10-digit identifier.
Is NATHANIEL MCCOY (M.D.) still an active registrant?
NATHANIEL MCCOY (M.D.) carries an active NPI according to the public dataset.
How would a patient describe NATHANIEL MCCOY (M.D.)'s focus?
For NATHANIEL MCCOY (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NATHANIEL MCCOY (M.D.)?
Travel planning: use Portland, Oregon as the reference point for NATHANIEL MCCOY (M.D.), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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