KRISTOPHER RYAN KOHOUT
NPI 1164032355
Physician Assistant in Athens, TX

Active since August 03, 2020PECOS EnrolledAccepts Medicare Assignment
1115 E TYLER ST, ATHENS, TX 75751(903) 292-5015(903) 292-5021 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristopher Ryan Kohout NPPES

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

KRISTOPHER RYAN KOHOUT (NPI 1164032355) is an individual physician assistant in Athens, Texas, licensed in Texas (PA17918) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boiling Springs, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164032355
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKRISTOPHER RYAN KOHOUT
Location Address1115 E TYLER STAthens, TX 75751-2145
Mailing AddressPo Box 95559Grapevine, TX 76099-9707 · (405) 724-0574 · Fax (405) 849-4105
Fax(903) 292-5021
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 3, 2020
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
NPI 1164032355 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 TX · PA17918
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.
1115 E TYLER ST, Athens, TX 75751

Secondary Practice Location 1

Location 1110 S Main StBoiling Springs, NC 28017-9797 · Phone (704) 406-4000

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

Kristopher Ryan Kohout 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 ID1153728472
PECOS Enrollment IDI20250416000619
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 75751 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Nurse Practitioner (Family)
1115 E TYLER ST
ATHENS, TX 75751
Clinic/Center (Rural Health)
1115 E TYLER ST
ATHENS, TX 75751
Nurse Practitioner (Family)
1115 E TYLER ST
ATHENS, TX 75751
Nurse Practitioner (Family)
1115 E TYLER ST
ATHENS, TX 75751
Nurse Practitioner (Family)
1115 E TYLER ST
ATHENS, TX 75751
Nurse Practitioner
1115 E TYLER ST
ATHENS, TX 75751
Physician Assistant
1115 E TYLER ST
ATHENS, TX 75751
Nurse Practitioner (Psychiatric/Mental Health)
1115 E TYLER ST
ATHENS, TX 75751

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 Kristopher Kohout's NPI number?

The NPI number for Kristopher Kohout is 1164032355. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Kristopher Kohout located?

Kristopher Kohout practices at 1115 E Tyler St, Athens, TX 75751. The listed phone number is (903) 292-5015.

What is Kristopher Kohout's specialty?

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

Is Kristopher Kohout enrolled in Medicare?

Yes. Kristopher Kohout 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 Kristopher Kohout was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.