Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDRA MARRY KHOURY
NPI 1023804283
Physician Assistant in Lone Tree, CO

Active since April 15, 2025PECOS EnrolledAccepts Medicare Assignment
10099 RIDGEGATE PKWY STE 310, LONE TREE, CO 80124(303) 790-1800 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alexandra Marry Khoury NPPES

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

ALEXANDRA MARRY KHOURY (NPI 1023804283) is an individual physician assistant in Lone Tree, Colorado, licensed in Colorado (PA.0009313) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023804283
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRA MARRY KHOURY
Location Address10099 RIDGEGATE PKWY STE 310Lone Tree, CO 80124-5534
Mailing Address10099 Ridgegate PkwyLone Tree, CO 80124-5531 · (303) 724-7963
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 15, 2025
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
NPI 1023804283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CO · PA.0009313
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.
10099 RIDGEGATE PKWY STE 310, Lone Tree, CO 80124

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

Alexandra Marry Khoury 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 ID8325529167
PECOS Enrollment IDI20260219004416
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80124 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES 8

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

Physician Assistant
10099 RIDGEGATE PKWY STE 310
LONE TREE, CO 80124
Specialist/Technologist, Other (Surgical Assistant)
10099 RIDGEGATE PKWY STE 310
LONE TREE, CO 80124
Physician Assistant
10099 RIDGEGATE PKWY STE 310
LONE TREE, CO 80124
Neurological Surgery
10099 RIDGEGATE PKWY STE 310
LONE TREE, CO 80124
Physician Assistant
10099 RIDGEGATE PKWY STE 310
LONE TREE, CO 80124
Physician Assistant (Surgical)
10099 RIDGEGATE PKWY STE 310
LONE TREE, CO 80124
Neurological Surgery
10099 RIDGEGATE PKWY STE 310
LONE TREE, CO 80124
Neurological Surgery
10099 RIDGEGATE PKWY STE 310
LONE TREE, CO 80124

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 Alexandra Khoury's NPI number?

The NPI number for Alexandra Khoury is 1023804283. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Alexandra Khoury located?

Alexandra Khoury practices at 10099 Ridgegate Pkwy Ste 310, Lone Tree, CO 80124. The listed phone number is (303) 790-1800.

What is Alexandra Khoury's specialty?

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

Is Alexandra Khoury enrolled in Medicare?

Yes. Alexandra Khoury 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.

When was this NPI record last updated?

The NPPES record for Alexandra Khoury was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.