KATHERINE SERAFEN KOONCE PA-C
NPI 1194389353
Physician Assistant in Sanford, NC

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
1911 K M WICKER MEMORIAL DR, SANFORD, NC 27330(910) 439-9251 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2026, Nov 14, 2024, Oct 14, 2020 and 2 more (5 updates tracked since 2019).

About Katherine Serafen Koonce Pa-c NPPES

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

KATHERINE SERAFEN KOONCE PA-C (NPI 1194389353) is an individual physician assistant in Sanford, North Carolina, licensed in North Carolina (0010-13643) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2020).

NPPES Registry Identity

NPI1194389353
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE SERAFEN KOONCECredential: PA-C
Location Address1911 K M WICKER MEMORIAL DRSanford, NC 27330-5070
Mailing Address1911 K M Wicker Memorial DrSanford, NC 27330-5070
Sole ProprietorYes
Medical School CMSMercer University School Of MedicineGraduated 2020
Enumeration DateApril 23, 2019
Last NPPES UpdateFebruary 2, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1194389353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NC · 0010-13643 Licensed in GA · 9798
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.
1911 K M WICKER MEMORIAL DR, Sanford, NC 27330

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

Katherine Serafen Koonce Pa-c 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 ID5092137083
PECOS Enrollment IDI20240129001225
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

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.

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.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27330 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 12

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

Clinic/Center
1911 K M WICKER MEMORIAL DR
SANFORD, NC 27330
Physician Assistant
1911 K M WICKER MEMORIAL DR
SANFORD, NC 27330
Dermatology
1911 K M WICKER MEMORIAL DR
SANFORD, NC 27330
Physician Assistant
1911 K M WICKER MEMORIAL DR
SANFORD, NC 27330
Family Medicine
1911 K M WICKER MEMORIAL DR
SANFORD, NC 27330
Dermatology
1911 K M WICKER MEMORIAL DR
SANFORD, NC 27330
Dermatology
1911 K M WICKER MEMORIAL DR
SANFORD, NC 27330
Family Medicine
1911 K M WICKER MEMORIAL DR
SANFORD, NC 27330

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 Katherine Koonce's NPI number?

The NPI number for Katherine Koonce is 1194389353. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Katherine Koonce located?

Katherine Koonce practices at 1911 K M Wicker Memorial Dr, Sanford, NC 27330. The listed phone number is (910) 439-9251.

What is Katherine Koonce's specialty?

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

Is Katherine Koonce enrolled in Medicare?

Yes. Katherine Koonce 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 Katherine Koonce accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Insurance Company and UnitedHealthcare list Katherine 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 Katherine Koonce was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.