NPIMap

Individual provider Active NPI

Derek Andrew McCoy, MD

  • Adult Medicine Physician
  • Bel Air, MD
National Provider Identifier
1285827261
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
D0073454 Issued in MD
Practice address
4C North Ave Ste 403
Bel Air, MD 21014-2333
Phone
(443) 377-8624
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X D0073454 MD Primary

Addresses

Primary practice location

4C North Ave Ste 403
Bel Air, MD 21014-2333

Mailing address

4C North Ave Ste 403
Bel Air, MD 21014-2333
Phone (443) 377-8624

Other identifiers 1

IdentifierTypeStateIssuer
325119500MedicaidMD

Other names 1

  • Dr. Derek McCoy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000250 MD Practitioner - Family PracticePractitioner - Surgical OncologyPractitioner - Emergency Medicine 2365595436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Surgical Oncology
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

4 C N Ave
Suite 403
Bel Air, MD 21014-2333
Phone (443) 377-8264

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as individual
Quality
90
Improvement activities
40
Cost
72.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Emergency Medicine Physicians, LLC CurrentSince Jun 1, 2012 Accepting new patients
McCoy Medical Group LLC CurrentSince Jan 1, 2023 Accepting new patients
Franklin Clinic Corp Past Accepting new patients
Franklin Clinic Corp PastSince Sep 1, 2010 Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128

4C North Ave
Ste 403
Bel Air, MD 21014
Phone (410) 879-5170

4C North Ave
Ste 405
Bel Air, MD 21014
Phone (443) 377-8624

Interoperability endpoints

  • Direct secure messaging: dmccoy651739@direct.umm.edu

Organizations & group practices 5

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1285827261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 403",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142333",
            "telephone_number": "443-377-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 403",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142333",
            "telephone_number": "443-377-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "DEREK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "D0073454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325119500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEREK",
            "last_name": "MCCOY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.