NPIMap

Individual provider Active NPI

Kevin McCoy, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Easton, MD
National Provider Identifier
1376836015
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
D0083031 Issued in MD
Practice address
510 Idlewild Ave Ste 200
Easton, MD 21601-3883
Phone
(410) 820-8226
Fax
(410) 820-8226
NPI assigned
May 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X D0083031 MD Primary

Addresses

Primary practice location

510 Idlewild Ave Ste 200
Easton, MD 21601-3883

Mailing address

750 E. Adams Street
Syracuse, NY 13210

Other practice location 1

750 E. Adams Street
Syracuse, NY 13210
Phone (315) 464-5136

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
I20170912000851 MD Practitioner - Orthopedic Surgery 2466740741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Orthopedics, IncGroup PAC ID 8628367885, 29 clinicians

Practice addresses (Care Compare)

510 Idlewild Ave
Suite 200
Easton, MD 21601-3883
Phone 4108208226107

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Vna of Maryland- Chestertown Home health agency, Chestertown, MD, CCN 217142
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Vna of Maryland- Easton Home health agency, Easton, MD, CCN 217139
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • University of MD Shore Medical Ctr at Chestertown Hospital, Chestertown, MD, CCN 210030

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
71.77
Promoting interoperability
97
Improvement activities
40
Cost
69.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement75
Knee replacement89
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0083031MDMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Orthopedics, Inc CurrentSince Sep 1, 2017 Accepting new patients
Shore Orthopedics, Inc. Adult Reconstructive Orthopaedic Surgery CurrentSince Sep 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

510 Idlewild Ave
Easton, MD 21601
Phone (410) 820-8226

510 Idlewild Ave
Ste 200
Easton, MD 21601
Phone (410) 820-8226

125 Shoreway Dr
Ste 270
Queenstown, MD 21658
Phone (410) 820-8226

Interoperability endpoints

  • Direct secure messaging: kmccoy361665@direct.umm.edu
  • Direct secure messaging: kevinmccoy@toc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 11

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376836015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E. ADAMS STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 IDLEWILD AVE STE 200",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013883",
            "telephone_number": "410-820-8226",
            "fax_number": "410-820-8226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E. Adams Street",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "13210",
            "country_code": "US",
            "telephone_number": "315-464-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MD",
            "license": "D0083031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.