NPI age
14 years
Enumerated 2012-05-23
● Active
Type 1 · Individual
DR. Justin McCoy, DO
McCoy is 1 of 12 family medicine providers in Boise and 1 of 26 in Idaho.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
CO, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-05-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 26 active family medicine providers in Idaho.
NPI age
14 years
≈ at median (14 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-05Enumerated in NPPES
2012
2026
Where they practice
Practice location
777 N Raymond St
Boise, ID 837049251
Mailing address
777 N Raymond St
Boise, ID 837049251
Specialties
-
Family Medicine PrimaryA family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine...
-
Family MedicineFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1265792238 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 161 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.