CRYSTAL PICKERAL KOERNER M.D.
NPI 1235524703
Colon & Rectal Surgery in Seattle, WA

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1101 MADISON ST STE 500, SEATTLE, WA 98104(206) 386-6600 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2020, Jun 27, 2016 (2 updates tracked since 2016).

About Crystal Pickeral Koerner M.d. NPPES

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

CRYSTAL PICKERAL KOERNER M.D. (NPI 1235524703) is an individual colon & rectal surgery provider in Seattle, Washington, licensed in Washington (61033333) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Florida State University College Of Medicine (2015).

NPPES Registry Identity

NPI1235524703
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameCRYSTAL PICKERAL KOERNERCredential: M.D.
Location Address1101 MADISON ST STE 500Seattle, WA 98104-3557
Mailing Address1101 Madison St Ste 500Seattle, WA 98104-3557 · (206) 386-6600
Sole ProprietorYes
Medical School CMSFlorida State University College Of MedicineGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateSeptember 2, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
NPI 1235524703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in WA · 61033333
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

1101 MADISON ST STE 500, Seattle, WA 98104

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Crystal Pickeral Koerner M.d. 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 ID5597165829
PECOS Enrollment IDI20210608003204
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 5

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.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
31 services24 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
23 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services16 patients
Injection of agent into vein to assess blood flow of skin graft or flap 15860
This procedure involves injecting a special substance into your vein to evaluate the blood flow in a skin graft or flap. The substance helps to highlight the blood vessels under imaging, providing a clear picture of how well the graft or flap is receiving blood supply.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Student in an Organized Health Care Education/Training Program
1101 MADISON ST STE 500
SEATTLE, WA 98104
Social Worker (Clinical)
1101 MADISON ST STE 500
SEATTLE, WA 98104
Colon & Rectal Surgery
1101 MADISON ST STE 500
SEATTLE, WA 98104
Social Worker (Clinical)
1101 MADISON ST STE 500
SEATTLE, WA 98104
Social Worker (Clinical)
1101 MADISON ST STE 500
SEATTLE, WA 98104
Psychiatry & Neurology (Psychiatry)
1101 MADISON ST STE 500
SEATTLE, WA 98104

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 Crystal Koerner's NPI number?

The NPI number for Crystal Koerner is 1235524703. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Crystal Koerner located?

Crystal Koerner practices at 1101 Madison St Ste 500, Seattle, WA 98104. The listed phone number is (206) 386-6600.

What is Crystal Koerner's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Crystal Koerner enrolled in Medicare?

Yes. Crystal Koerner 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 Crystal Koerner accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Crystal Koerner 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 Crystal Koerner affiliated with any hospitals?

According to CMS data, Crystal Koerner is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Crystal Koerner was last updated on September 2, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.