Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1376536060 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Everett Mccoy , DC

Chiropractor • Crystal Lake, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Mccoy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2005
NPI Deactivation Date March 27, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Mccoy, DC was a registered Chiropractor practicing in Crystal Lake, IL. Throughout an active medical career spanning 1 years, Dr. Mccoy provided care at the practice location at 181 N VIRGINIA ST until profile deactivation on 2006-03-27.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

181 N Virginia St
Suite 1

Crystal Lake, IL 600143433

Telephone 8154556373
Fax 8154556375

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Crystal Lake, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
39 Specialists

Practicing in Crystal Lake, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
179 13 $34.00 $33.55

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 038-004127

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
05682020-52 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Business Mailing Address September 11, 2017

Registered at 6306 SUTTONDALE RD, HUNTLEY, IL 601429597 (Tel: 8476695380)

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Updated Practice Location September 11, 2017

Registered at 181 N VIRGINIA ST, SUITE 1, CRYSTAL LAKE, IL 600143433 (Tel: 8154556373)

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Provider Name / Credentials Updated September 11, 2017

Recorded as RICHARD MCCOY, D. C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2017

Chiropractor (License #038-004127 in IL)

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Updated Practice Location December 26, 2007

Registered at 181 N VIRGINIA ST, SUITE 1, CRYSTAL LAKE, IL 600143433 (Tel: 8154556373)

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Updated Business Mailing Address December 26, 2007

Registered at 181 N VIRGINIA ST, SUITE 1, CRYSTAL LAKE, IL 600143433 (Tel: 8154556373)

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Provider Name / Credentials Updated December 26, 2007

Recorded as RICHARD MCCOY, D. C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 26, 2007

Chiropractor

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NPI Profile Reactivated April 10, 2006

Record officially reactivated for active practice on April 10, 2006

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NPI Profile Deactivated March 27, 2006

Record deactivated on March 27, 2006

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Initial NPI Registration & Enumeration August 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376536060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2005
Last Update: September 11, 2017
Deactivation Date: March 27, 2006
Sole Proprietor: Yes

Mailing Address

6306 Suttondale Rd

Huntley, IL 601429597

Phone: 8476695380

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.