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DR. RICHARD BRUCE KOEFOOT M.D.
NPI 1003896010
Specialist in Grand Island, NE

Active since January 18, 2006PECOS Enrolled
92.39/100
CMS Quality Rating
620 N ALPHA ST, GRAND ISLAND, NE 68803(308) 381-0473(308) 381-2616 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard Bruce Koefoot M.d. NPPES

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

DR. RICHARD BRUCE KOEFOOT M.D. (NPI 1003896010) is an individual specialist in Grand Island, Nebraska, licensed in Nebraska (18143) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003896010
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RICHARD BRUCE KOEFOOTCredential: M.D.
Location Address620 N ALPHA STGrand Island, NE 68803-4316
Mailing Address620 N Alpha StGrand Island, NE 68803-4316 · (308) 381-0473 · Fax (308) 381-2616
Phone(308) 381-0473
Fax(308) 381-2616
Sole ProprietorNo
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJanuary 28, 2010
✔ NPI 1003896010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NE · 18143
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
620 N ALPHA ST, Grand Island, NE 68803
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Other Identifiers 5

Medicare UPIND032218NE
Other247460NE · Midlands Choice
Other00378NE · Blue Cross
OtherP00241093NE · Railroad Medicare
Medicare ID-Type Unspecified279212NE · Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard Bruce Koefoot M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers44 claims6,920 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers46 claims7,160 services$1.70 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers16 claims3,240 services$6.16 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 5

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

UROLOGICAL ASSOCIATES OF GRAND ISLAND P.C.
Urology
620 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 381-0473
UROLOGICAL ASSOCIATES OF GRAND ISLAND LLC
Specialist
620 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 381-0473
DR. GREGORY L. ALBERTS M.D.
Urology
620 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 381-0473
DR. JAMES C. WENDT M.D.
Urology
620 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 381-0473
DR. LAWRENCE W. HAKE M.D.
Urology
620 N ALPHA ST
GRAND ISLAND, NE 68803
Hall County (308) 381-0473

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 Richard Koefoot's NPI number?

The NPI number for Richard Koefoot is 1003896010. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Richard Koefoot located?

Richard Koefoot practices at 620 N Alpha St, Grand Island, NE 68803. The listed phone number is (308) 381-0473.

What is Richard Koefoot's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Richard Koefoot enrolled in Medicare?

Yes. Richard Koefoot is registered in the Medicare PECOS enrollment system.

What insurance does Richard Koefoot accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska list Richard Koefoot 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.

When was this NPI record last updated?

The NPPES record for Richard Koefoot was last updated on January 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.