Individual provider Active NPI

Andrew McCoy, DPM

  • Foot & Ankle Surgery Podiatrist
  • Clearwater, FL
National Provider Identifier
1821521097
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4093 Issued in FL
Practice address
2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone
(727) 797-5008
NPI assigned
Apr 5, 2017
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO4093 FL Primary

Addresses

Primary practice location

2521 Countryside Blvd
Clearwater, FL 33763-1605

Mailing address

2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone (727) 797-5008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200729001698 FL Practitioner - Podiatry 3375968035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruce J Levine DPM PAGroup PAC ID 8224066923, 13 clinicians

Practice addresses (Care Compare)

2521 Countryside Blvd
Clearwater, FL 33763-1605
Phone (727) 797-5008

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of skin lesions72
Removal of nail tissue729
Removal or shaving of skin growth459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4093FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce J Levine DPM PA Single Specialty CurrentSince Aug 9, 2021 Accepting new patients

Locations

2521 Countryside Blvd
Clearwater, FL 33763
Phone (727) 797-5008

8839 Bryan Dairy Rd
Ste 219
Largo, FL 33777
Phone (727) 393-2383

Interoperability endpoints

  • Direct secure messaging: amccoy@usfas.emadirect.md

Organizations & group practices 1

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1821521097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 COUNTRYSIDE BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631605",
            "telephone_number": "727-797-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 COUNTRYSIDE BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337631605",
            "telephone_number": "727-797-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.