DR. MARVIN CLAY KOONCE DDS
NPI 1184805731
Dentist - General Practice in Shelbyville, TN

Q: What is Marvin Koonce's NPI number?

The NPI number for Marvin Koonce is 1184805731. It was assigned to this individual provider in the NPPES registry on November 23, 2007.

Q: What is Marvin Koonce's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Marvin Koonce was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 23, 2007PECOS Enrolled

603 N MAIN ST, SHELBYVILLE, TN 37160(931) 684-2445 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Marvin Clay Koonce Dds NPPES

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

DR. MARVIN CLAY KOONCE DDS (NPI 1184805731) is an individual general practice provider in Shelbyville, Tennessee, licensed in Tennessee (2322) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184805731

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARVIN CLAY KOONCECredential: DDS

Location Address603 N MAIN STShelbyville, TN 37160-3210

Mailing AddressP O Box 741Shelbyville, TN 37162-0741 · (931) 684-2445 · Fax (931) 684-6201

Phone(931) 684-2445

Sole ProprietorYes

Enumeration DateNovember 23, 2007

✔ NPI 1184805731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · 2322

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

603 N MAIN ST, Shelbyville, TN 37160

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marvin Clay Koonce Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 37160 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 2

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

DR. KENNETH BRADLEY BEARD DDS

Dentist (General Practice)

603 N MAIN ST
SHELBYVILLE, TN 37160

Bedford County (931) 684-2445

MARVIN C KOONCE DDS PC

Dentist (General Practice)

603 N MAIN ST
SHELBYVILLE, TN 37160

Bedford County (931) 684-2445

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 Marvin Koonce's NPI number?

The NPI number for Marvin Koonce is 1184805731. It was assigned to this individual provider in the NPPES registry on November 23, 2007.

Where is Marvin Koonce located?

Marvin Koonce practices at 603 N Main St, Shelbyville, TN 37160. The listed phone number is (931) 684-2445.

What is Marvin Koonce's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Marvin Koonce enrolled in Medicare?

Yes. Marvin Koonce is registered in the Medicare PECOS enrollment system.

What insurance does Marvin Koonce accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Marvin Koonce 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 Marvin Koonce was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.