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KELLY JO COON M.D.
NPI 1003864703
Hospitalist in Scottsbluff, NE

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
4021 AVENUE B, SCOTTSBLUFF, NE 69361(308) 630-2920 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Jo Coon M.d. NPPES

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

KELLY JO COON M.D. (NPI 1003864703) is an individual hospitalist provider in Scottsbluff, Nebraska, licensed in Nebraska (24923) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1003864703
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameKELLY JO COONCredential: M.D.
Location Address4021 AVENUE BScottsbluff, NE 69361-4602
Mailing Address3911 Avenue B, Suite 2100Scottsbluff, NE 69361-4617 · (308) 630-2920
Phone(308) 630-2920
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 4, 2006
Last NPPES UpdateJune 12, 2018
✔ NPI 1003864703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NE · 24923
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 28489 (NE)
4021 AVENUE B, Scottsbluff, NE 69361
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.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

Kelly Jo Coon M.d. 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 ID446262836
PECOS Enrollment IDI20060703000114
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
509 services200 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
183 services178 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
90 services89 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services21 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69361 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers32 claims32 services$17.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers35 claims35 services$90.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RICHARD J SIMMONS MD
Pathology (Anatomic Pathology & Clinical Pathology)
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1400
MEGAN COLLINS DO
Student in an Organized Health Care Education/Training Program
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 635-3711
DR. CRAIG DOUGLAS NOE PHARM. D.
Pharmacist (Pharmacotherapy)
4021 AVENUE B, INPATIENT PHARMACY
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1262
KRISTEN NELSON
Speech-Language Pathologist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1355
NEBRASKA EM-I MEDICAL SERVICES PC
Emergency Medicine
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (469) 401-2386
MR. RANDALL WILBERT REZNOR R.PH.
Pharmacist
4021 AVENUE B, REGIONAL WEST MEDICAL CENTER
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1262
AMBER ROSE MCLAUGHLIN DPT
Physical Therapist
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-1355
ALICE FILLINGHAM APRN-NP
Nurse Practitioner (Family)
4021 AVENUE B
SCOTTSBLUFF, NE 69361
Scotts Bluff County (308) 630-2689

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 Kelly Coon's NPI number?

The NPI number for Kelly Coon is 1003864703. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Kelly Coon located?

Kelly Coon practices at 4021 Avenue B, Scottsbluff, NE 69361. The listed phone number is (308) 630-2920.

What is Kelly Coon's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kelly Coon enrolled in Medicare?

Yes. Kelly Coon 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 Kelly Coon accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and UnitedHealthcare list Kelly Coon 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 Kelly Coon affiliated with any hospitals?

According to CMS data, Kelly Coon is affiliated with Saint Francis Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Kelly Coon was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.