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ANDREW T MCCOUBREY PA-C
NPI 1437255924
Physician Assistant - Surgical in Traverse City, MI

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1105 SIXTH ST, TRAVERSE CITY, MI 49684(231) 935-5000 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 16, 2024, Apr 12, 2022, Jan 3, 2019 (3 updates tracked since 2019).

About Andrew T Mccoubrey Pa-c NPPES

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

ANDREW T MCCOUBREY PA-C (NPI 1437255924) is an individual surgical provider in Traverse City, Michigan, licensed in Michigan (5601003666) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437255924
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameANDREW T MCCOUBREYCredential: PA-C
Location Address1105 SIXTH STTraverse City, MI 49684-2345
Mailing Address1105 Sixth StTraverse City, MI 49684-2386
Phone(231) 935-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 16, 20243 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1437255924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MI · 5601003666
1105 SIXTH ST, Traverse City, MI 49684
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1416 Connable AvePetoskey, MI 49770-2212 · Phone (231) 487-7129 · Fax (231) 487-3082
Location 23537 W Front St Ste ETraverse City, MI 49684-7943 · Phone (231) 935-5880 · Fax (231) 935-3464

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew T Mccoubrey Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082508700
PECOS Enrollment IDI20040212000087
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

EDWARD J WALSH MD
Radiology (Diagnostic Radiology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-0497
STEVEN BONKOSKI PHARMD
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
DR. ARIEL MARIE ENNIS NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3250
MRS. MICHELLE K HEARN PHARM.D.
Pharmacist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6581
MUNSON MEDICAL CENTER
Obstetrics & Gynecology (Gynecologic Oncology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
KRISTINE A SIEMER OTR/L, CHT
Occupational Therapist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8600
MRS. MEGAN MIRANDA GAGE CCC-SLP
Speech-Language Pathologist
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
ALYSON M BOOTH MD
Pathology (Anatomic Pathology & Clinical Pathology)
1105 SIXTH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Mccoubrey's NPI number?

The NPI number for Andrew Mccoubrey is 1437255924. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Andrew Mccoubrey located?

Andrew Mccoubrey practices at 1105 Sixth St, Traverse City, MI 49684. The listed phone number is (231) 935-5000.

What is Andrew Mccoubrey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrew Mccoubrey enrolled in Medicare?

Yes. Andrew Mccoubrey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Mccoubrey accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Andrew Mccoubrey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Mccoubrey affiliated with any hospitals?

According to CMS data, Andrew Mccoubrey is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Mccoubrey was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.