MR. BRIAN KOONS PA-C
NPI 1023017977
Physician Assistant in York, PA

Active since July 21, 2005PECOS EnrolledAccepts Medicare Assignment
95.21/100
CMS Quality Rating
1855 POWDER MILL RD, YORK, PA 17402(717) 848-4800(717) 741-9867 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2019, Mar 17, 2018, Feb 28, 2018 (3 updates tracked since 2018).

About Mr. Brian Koons Pa-c NPPES

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

MR. BRIAN KOONS PA-C (NPI 1023017977) is an individual physician assistant in York, Pennsylvania, licensed in Pennsylvania (MA002769L) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Oss Orthopaedic Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1023017977
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRIAN KOONSCredential: PA-C
Location Address1855 POWDER MILL RDYork, PA 17402
Mailing Address1861 Powder Mill Road, Attn Medical Staff OfficeYork, PA 17402-4723 · (717) 718-2000 · Fax (717) 718-3470
Fax(717) 741-9867
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 21, 2005
Last NPPES UpdateMarch 29, 20223 updates tracked since enumeration
NPPES CertifiedMarch 29, 2022
NPI 1023017977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA002769L
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA002769L (PA)
1855 POWDER MILL RD, York, PA 17402

Secondary Practice Locations 2

Location 1470 Eisenhower DrHanover, PA 17331-5248 · Phone (717) 633-0031 · Fax (717) 630-1085
Location 2856 Century DrMechanicsburg, PA 17055-4505 · Phone (717) 730-7099 · Fax (717) 741-9867

Accepted 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

Mr. Brian Koons Pa-c 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 ID9234159013
PECOS Enrollment IDI20051123000395
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 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
100 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services37 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
22 services19 patients

Hospital Affiliations CMS Care Compare

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

Oss Orthopaedic Hospital

Acute Care Hospitals · York, PA
OwnershipProprietary
CMS Certification Number390325
Location1861 Powder Mill RdYork, PA 17402 · York County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17402 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

95.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.73
Promoting Interoperability100
Improvement Activities40
Cost93.32

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.

Nurse Practitioner (Acute Care)
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Physical Therapist
1855 POWDER MILL RD
YORK, PA 17402
Family Medicine
1855 POWDER MILL RD
YORK, PA 17402
Occupational Therapist (Hand)
1855 POWDER MILL RD
YORK, PA 17402
Anesthesiology (Pain Medicine)
1855 POWDER MILL RD
YORK, PA 17402

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 Brian Koons's NPI number?

The NPI number for Brian Koons is 1023017977. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Brian Koons located?

Brian Koons practices at 1855 Powder Mill Rd, York, PA 17402. The listed phone number is (717) 848-4800.

What is Brian Koons's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Koons enrolled in Medicare?

Yes. Brian Koons 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 Brian Koons accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brian Koons 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 Brian Koons affiliated with any hospitals?

According to CMS data, Brian Koons is affiliated with Oss Orthopaedic Hospital.

When was this NPI record last updated?

The NPPES record for Brian Koons was last updated on March 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.