CAMERON JOSEPH MCCOY
NPI 1639915762
Nurse Anesthetist, Certified Registered in Broken Arrow, OK

Active since July 08, 2024Accepts Medicare Assignment
1000 W BOISE CIR, BROKEN ARROW, OK 74012(918) 994-8000 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Jul 8, 2024 (2 updates tracked since 2024).

About Cameron Joseph Mccoy NPPES

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

CAMERON JOSEPH MCCOY (NPI 1639915762) is an individual nurse anesthetist, certified registered in Broken Arrow, Oklahoma, licensed in Tennessee (38974) and active in the NPI registry since July 2024. He is affiliated with Tristar Summit Medical Center and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639915762
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCAMERON JOSEPH MCCOY
Location Address1000 W BOISE CIRBroken Arrow, OK 74012-4900
Mailing Address641 W Farm Road 182 Apt B304Springfield, MO 65810-2791 · (256) 213-8292
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 8, 2024
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1639915762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TN · 38974
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1000 W BOISE CIR, Broken Arrow, OK 74012

Accepted 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

Cameron Joseph Mccoy 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 ID3870092448
PECOS Enrollment IDI20250820000483

Hospital Affiliations CMS Care Compare

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

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 10

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

Emergency Medicine
1000 W BOISE CIR, ST JOHN OWASSO - EMERGENCY DEPT
BROKEN ARROW, OK 74012
Nurse Anesthetist, Certified Registered
1000 W BOISE CIR
BROKEN ARROW, OK 74012
Religious Nonmedical Practitioner
1000 W BOISE CIR
BROKEN ARROW, OK 74012
Nurse Anesthetist, Certified Registered
1000 W BOISE CIR
BROKEN ARROW, OK 74012
Internal Medicine (Critical Care Medicine)
1000 W BOISE CIR
BROKEN ARROW, OK 74012
General Acute Care Hospital
1000 W BOISE CIR
BROKEN ARROW, OK 74012
Pharmacist
1000 W BOISE CIR
BROKEN ARROW, OK 74012
Nurse Anesthetist, Certified Registered
1000 W BOISE CIR
BROKEN ARROW, OK 74012

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 Cameron Mccoy's NPI number?

The NPI number for Cameron Mccoy is 1639915762. It was assigned to this individual provider in the NPPES registry on July 8, 2024.

Where is Cameron Mccoy located?

Cameron Mccoy practices at 1000 W Boise Cir, Broken Arrow, OK 74012. The listed phone number is (918) 994-8000.

What is Cameron Mccoy's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Cameron Mccoy enrolled in Medicare?

Yes. Cameron Mccoy 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 Cameron Mccoy accept?

Health plans from Oscar Insurance Company list Cameron Mccoy 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 Cameron Mccoy affiliated with any hospitals?

According to CMS data, Cameron Mccoy is affiliated with Tristar Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Cameron Mccoy was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.