KENYN L. KOOP MD
NPI 1124507439
Family Medicine in Janesville, WI

Active since August 08, 2018PECOS EnrolledAccepts Medicare Assignment
849 KELLOGG AVE, JANESVILLE, WI 53546(608) 755-7960 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2021, Aug 8, 2018 (2 updates tracked since 2018).

About Kenyn L. Koop Md NPPES

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

KENYN L. KOOP MD (NPI 1124507439) is an individual family medicine provider in Janesville, Wisconsin, licensed in South Carolina (86593) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Carolina East Medical Center, and maintains a secondary practice location in Walhalla.

NPPES Registry Identity

NPI1124507439
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENYN L. KOOPCredential: MD
Location Address849 KELLOGG AVEJanesville, WI 53546-2808
Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 8, 2018
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
NPI 1124507439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 86593
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 7185-851 (WI)
849 KELLOGG AVE, Janesville, WI 53546

Secondary Practice Location 1

Location 1103 Whitetail DrWalhalla, SC 29691-5837 · Phone (864) 638-3444 · Fax (864) 638-3445

Other Identifiers 1

MedicaidPENDINGSC

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

Kenyn L. Koop Md 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 ID1557691987
PECOS Enrollment IDI20240213000021
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 56

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,340 services30 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.
1,166 services448 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
799 services422 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
733 services419 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
690 services416 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
675 services404 patients

Hospital Affiliations CMS Care Compare

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

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims41 services$6.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$8.00 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims960 services$0.10 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.

Family Medicine
849 KELLOGG AVE
JANESVILLE, WI 53546
Family Medicine
849 KELLOGG AVE
JANESVILLE, WI 53546
Durable Medical Equipment & Medical Supplies
849 KELLOGG AVE
JANESVILLE, WI 53546
Family Medicine
849 KELLOGG AVE
JANESVILLE, WI 53546
Hospitalist
849 KELLOGG AVE
JANESVILLE, WI 53546
Family Medicine
849 KELLOGG AVE
JANESVILLE, WI 53546
Hospitalist
849 KELLOGG AVE
JANESVILLE, WI 53546
Family Medicine
849 KELLOGG AVE
JANESVILLE, WI 53546

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 Kenyn Koop's NPI number?

The NPI number for Kenyn Koop is 1124507439. It was assigned to this individual provider in the NPPES registry on August 8, 2018.

Where is Kenyn Koop located?

Kenyn Koop practices at 849 Kellogg Ave, Janesville, WI 53546. The listed phone number is (608) 755-7960.

What is Kenyn Koop's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenyn Koop enrolled in Medicare?

Yes. Kenyn Koop 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 Kenyn Koop accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross and Blue Shield of NC and UnitedHealthcare list Kenyn Koop 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 Kenyn Koop affiliated with any hospitals?

According to CMS data, Kenyn Koop is affiliated with Carolina East Medical Center.

When was this NPI record last updated?

The NPPES record for Kenyn Koop was last updated on September 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.