MICHAEL JUSTIN COFFEY (MD) – Psychiatry Physician, NPI 1780719294
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,871 PSYCHIATRY in PA
Provider Addresses for MICHAEL JUSTIN COFFEY (MD)
100 N ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 271-6144
Fax: (570) 271-6578
Type: Mailing
474 Grove St
Worcester, MA 016051214
Phone: (888) 852-6672
Fax: (305) 891-4228
Type: Location
61 Brown St
Haverhill, MA 018306750
Phone: (888) 852-6672
Fax: (305) 891-4228
Type: Location
1 Virginia Ave Ste 105
Providence, RI 029054444
Phone: (508) 979-5557
Type: Location
83 FROSTY HILLS DR
DANVILLE, PA 178219144
Phone: (734) 545-0922
Fax: (212) 901-0943
Type: Mailing
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: 2026-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 12 Medicare enrollment records; no due dates published yet.
Enrollment records
12
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 |
|---|---|---|---|---|
| I20190424000670 | I | Psychiatry | PA | TBD |
| I20250806003183 | I | Psychiatry | FL | TBD |
| I20250923004614 | I | Psychiatry | GA | TBD |
| I20260107001540 | I | Psychiatry | IL | TBD |
| I20260116003318 | I | Psychiatry | TN | TBD |
| I20260116003433 | I | Psychiatry | RI | TBD |
| I20260126000416 | I | Psychiatry | NM | TBD |
| I20260209000020 | I | Psychiatry | NJ | TBD |
| I20260209000073 | I | Psychiatry | MD | TBD |
| I20260209001145 | I | Psychiatry | MT | TBD |
| I20260215000116 | I | Psychiatry | TX | TBD |
| I20260220002843 | I | Psychiatry | MA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17822)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | PA | |
| Clinical Psychologist | DE | |
| Mental Health Counselor | PA | |
| Clinical Psychologist | PA | |
| Clinical Psychologist | PA | |
| Clinical Social Worker | PA | |
| Clinical Psychologist | PA | |
| Clinical Social Worker | PA | |
| Clinical Social Worker | PA |
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