KELLY MCCOY
NPI 1235705872
Dermatology - MOHS-Micrographic Surgery in Indianapolis, IN

Q: What is Kelly Mccoy's NPI number?

The NPI number for Kelly Mccoy is 1235705872. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Q: What is Kelly Mccoy's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mccoy was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 03, 2021PECOS Enrolled

8414 NAAB RD, INDIANAPOLIS, IN 46260(317) 338-7510(317) 338-7515 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, May 6, 2025, Mar 31, 2025 and 1 more (4 updates tracked since 2021).

On this page

About Kelly Mccoy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MCCOY (NPI 1235705872) is an individual mohs-micrographic surgery provider in Indianapolis, Indiana, licensed in Indiana (01095886A) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1235705872

Entity TypeIndividualFemale

Primary Taxonomy207ND0101X

Provider Legal NameKELLY MCCOY

Location Address8414 NAAB RDIndianapolis, IN 46260-1972

Mailing Address8925 N Meridian St Ste 200Indianapolis, IN 46260-2385

Phone(317) 338-7510

Fax(317) 338-7515

Sole ProprietorNo

Enumeration DateJune 3, 2021

Last NPPES UpdateAugust 20, 20254 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1235705872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in IN · 01095886A

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License MT226575 (PA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8414 NAAB RD, Indianapolis, IN 46260

Open in Google Maps ↗

Secondary Practice Location 1

Location 18925 N Meridian St Ste 200Indianapolis, IN 46260-2385 · Phone (317) 660-4900

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Mccoy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCEDES MARIA VALACER DO

Student in an Organized Health Care Education/Training Program