DR. RAYMON KOONER DC
NPI 1053404038
Chiropractor in Bellevue, WA
About Dr. Raymon Kooner Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RAYMON KOONER DC (NPI 1053404038) is an individual chiropractor in Bellevue, Washington, licensed in Washington (CHOOO34656) and active in the NPI registry since October 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Raymon Kooner Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Raymon Kooner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bellevue, WA 98004
- Reassigned Medicare billing, Washington enrollment
- 9 clinicians in this Medicare group
Tukwila, WA 98188
- Reassigned Medicare billing, Washington enrollment
- 2 clinicians in this Medicare group
Everett, WA 98204
- Reassigned Medicare billing, Washington enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BELLEVUE, WA 98004
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 Raymon Kooner's NPI number?
The NPI number for Raymon Kooner is 1053404038. It was assigned to this individual provider in the NPPES registry on October 2, 2006.
Where is Raymon Kooner located?
Raymon Kooner practices at 10655 NE 4th St 101, Bellevue, WA 98004. The listed phone number is (503) 860-8859.
What is Raymon Kooner's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Raymon Kooner enrolled in Medicare?
Yes. Raymon Kooner is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Raymon Kooner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Raymon Kooner reassigns Medicare benefits to 3 organizations: Bellevue Medical Center (Bellevue, WA), C1 Renton PLLC (Tukwila, WA) and Olympic View Chiropractic, Ps (Everett, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Raymon Kooner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Raymon Kooner accept?
Health plans from Ambetter Health and Providence Health Plan list Raymon Kooner 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 Raymon Kooner was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Raymon Kooner, DC · NPI 1053404038
Chiropractor provider in Bellevue, Washington. Individual provider, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1053404038 (Entity type: Individual)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHOOO34656 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 10655 NE 4TH ST, 101, Bellevue, WA 98004-5035
- **Phone:** (503) 860-8859
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Bellevue Medical Center (NPI 1750754883, Bellevue, WA); C1 Renton PLLC (NPI 1730060526, Tukwila, WA); Olympic View Chiropractic, Ps (NPI 1093984486, Everett, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2011
- **Other identifiers:** Medicare NSC 6498900001 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1053404038) · Data from the CMS NPPES public registry.