Matthew K McCoy, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2020015826 Issued in MO

Practice address

3821 Veterans Memorial Pkwy
Saint Peters, MO 63376-6416

Phone

(636) 928-1111

Fax

(636) 928-1111

NPI assigned

Jun 10, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of St Louis LLCGroup PAC ID 7416053608, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: matthew.mccoyod.p31@direct.surevision.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eye Care Associates of St Louis LLC

  • Ophthalmology Physician
  • Richmond Heights, MO
  • NPI 1134161888
  Medicare reassignment Care Compare group NPD
• Abby Kilgore O.D,P.C.

  • Optometrist
  • Wentzville, MO
  • NPI 1144476839
  Medicare reassignment NPD
• Regional Eyecare Associates Inc

  • Optometrist
  • O Fallon, MO
  • NPI 1043380652
  Medicare reassignment NPD
• Surevision Eye Centers Midwest LLC

  • Ophthalmology Physician
  • Creve Coeur, MO
  • NPI 1699857912

  IL, Optometrist

  Medicare reassignment NPD
• Christina J. Levi O D P C

  • Optometrist
  • Edwardsville, IL
  • NPI 1477703411
  Medicare reassignment NPD
• Nu-Crown, LLC

  • Optometrist
  • Alton, IL
  • NPI 1295737294

  MO

  Medicare reassignment NPD
• Nucrown,Inc.

  • Optometrist
  • St. Charles, MO
  • NPI 1114337102
  NPD
• Surevision Eye Centers Midwest LLC

  • Durable Medical Equipment & Medical Supplies
  • Hazelwood, MO
  • NPI 1982839262
  NPD
• Christina J. Levi O D P C

  • Optometrist
  • Edwardsville, IL
  • NPI 1033261904
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1043835580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9979 WINGHAVEN BLVD STE 210",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683628",
            "telephone_number": "636-685-8555",
            "fax_number": "636-695-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 VETERANS MEMORIAL PKWY",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766416",
            "telephone_number": "636-928-1111",
            "fax_number": "636-928-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MATTHEW",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2020015826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mmccoy@regionaleyecare.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work email",
            "address_1": "3821 Veterans Memorial Pkwy",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633766416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• McClay Adult Day Center LLC
• McClay Health and Rehab LLC
• Ashley N McCool, DC
• Megan McCormick, DPT
• Patricia L McCoy Feldmanis, PHD, LPC
• Robert McCullough, MSW
• Julie M McDaniel, CRNA
• Valerie W McDevitt, LPC
• Charles B McDonnell, PT, CHT
• Kirk Daniel McElheny, DDS

• Optometrist in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.