DR. JAMES M KOBAN MD
NPI 1174589857
Psychiatry & Neurology - Psychiatry in Somerset, PA
About Dr. James M Koban Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES M KOBAN MD (NPI 1174589857) is an individual psychiatry provider in Somerset, Pennsylvania, licensed in Pennsylvania (MD048058L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James M Koban 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.
Medicare Billing Reassignment
Medicare enrollment records show James Koban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Somerset, PA 15501
- Reassigned Medicare billing, Pennsylvania enrollment
- 19 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Conemaugh Memorial Medical Center
Acute Care Hospitals · Johnstown, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOMERSET, PA 15501
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 James Koban's NPI number?
The NPI number for James Koban is 1174589857. It was assigned to this individual provider in the NPPES registry on April 21, 2006.
Where is James Koban located?
James Koban practices at 245 West Race Street, Somerset, PA 15501. The listed phone number is (814) 443-4891.
What is James Koban's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is James Koban enrolled in Medicare?
Yes. James Koban 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.
Which organization bills Medicare for James Koban's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Koban reassigns Medicare benefits to Bedford Somerset Developmental And Behavioral Health Services (Somerset, PA). The 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 James Koban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Koban accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Koban 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 James Koban affiliated with any hospitals?
According to CMS data, James Koban is affiliated with Conemaugh Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for James Koban was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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. James M Koban, MD · NPI 1174589857
Psychiatry physician in Somerset, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 21, 2006.
## Identity
- **NPI:** 1174589857 (Entity type: Individual)
- **Enumerated:** April 21, 2006
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** MD048058L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 245 WEST RACE STREET, Somerset, PA 15501
- **Phone:** (814) 443-4891 · **Fax:** (814) 443-4898
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Bedford Somerset Developmental And Behavioral Health Services (NPI 1558367185, Somerset, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 1990
## Record status
- **NPPES last updated:** September 1, 2009
- **Other identifiers:** Medicaid 01663803 (PA); Medicare ID-Type Unspecified 181495PTY (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1174589857) · Data from the CMS NPPES public registry.