Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin McCoy, DO

Individual provider Family Medicine Physician · NPI 1265792238

Dr. Justin McCoy, DO is a Family Practice in Boise, Idaho. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2012, 14 years ago. Practices with Intermountain Medical Group Grand Junction, LLC, a 299-clinician group and accepts Medicare assignment. Licensed in Colorado and Idaho.

Years since qualifying
14
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
CO, ID
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence DR.0057008 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence O-0857 (ID)

Record details

NPI number1265792238
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2012
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2012 (14 years in practice)
Group practice Intermountain Medical Group Grand Junction, Llc — 299 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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