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GAVIN KOENIG
NPI 1235711086
Emergency Medicine in Goodyear, AZ

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment
13657 W MCDOWELL RD STE 220, GOODYEAR, AZ 85395(623) 848-5609 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2025, Dec 10, 2024, Aug 4, 2021 and 1 more (4 updates tracked since 2021).

About Gavin Koenig NPPES

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

GAVIN KOENIG (NPI 1235711086) is an individual emergency medicine provider in Goodyear, Arizona, licensed in Washington (MD61519536) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Georgetown University School Of Medicine (2021).

NPPES Registry Identity

NPI1235711086
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGAVIN KOENIG
Location Address13657 W MCDOWELL RD STE 220Goodyear, AZ 85395-2603
Mailing Address13657 W Mcdowell Rd Ste 220Goodyear, AZ 85395-2603 · (623) 848-5609
Phone(623) 848-5609
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2021
Enumeration DateApril 21, 2021
Last NPPES UpdateMarch 27, 20254 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1235711086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WA · MD61519536
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
13657 W MCDOWELL RD STE 220, Goodyear, AZ 85395
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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

Gavin Koenig 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 ID4880134204
PECOS Enrollment IDI20240911003055
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Gavin Koenig reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Emergency Physicians LLC
1,136 mi
Emergency Medicine
330 S STILLAGUAMISH AVE
Arlington, WA 98223
  • Reassigned Medicare billing, Washington enrollment
  • 519 clinicians in this Medicare group
NPI 1235172370 (925) 251-6901
Sound Physicians Emergency Medicine Of Washington PLLC
1,158 mi
Emergency Medicine
2000 HOSPITAL DR
Sedro Woolley, WA 98284
  • Reassigned Medicare billing, Washington enrollment
  • 139 clinicians in this Medicare group
NPI 1629532064 (360) 856-6021

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
78 services77 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
29 services29 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Cascade Valley Hospital

Acute Care Hospitals · Arlington, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500060
Location330 S Stillaguamish AveArlington, WA 98223 · Snohomish County
Emergency services Birthing friendly

Peacehealth United General Medical Center

Critical Access Hospitals · Sedro Woolley, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501329
Location2000 Hospital DriveSedro Woolley, WA 98284 · Skagit County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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 7

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

ROBERT MARK COBO DO
Emergency Medicine
13657 W MCDOWELL RD STE 220
GOODYEAR, AZ 85395
Maricopa County (623) 848-5609
MELISSA MALLARY DO
Student in an Organized Health Care Education/Training Program
13657 W MCDOWELL RD STE 220
GOODYEAR, AZ 85395
Maricopa County (623) 848-5609
MICHAEL PATRICK WURZER DO
Emergency Medicine
13657 W MCDOWELL RD STE 220
GOODYEAR, AZ 85395
Maricopa County (623) 848-5609
WILLIAM MATI MD
Student in an Organized Health Care Education/Training Program
13657 W MCDOWELL RD STE 220
GOODYEAR, AZ 85395
Maricopa County (623) 848-5609
BRIAN CASILLAS MD
Emergency Medicine
13657 W MCDOWELL RD STE 220
GOODYEAR, AZ 85395
Maricopa County (623) 882-1500
REBECCA YOUNG MD
Emergency Medicine
13657 W MCDOWELL RD STE 220
GOODYEAR, AZ 85395
Maricopa County (623) 848-5609
STEPHANIE SPERRAZZA
Emergency Medicine
13657 W MCDOWELL RD STE 220
GOODYEAR, AZ 85395
Maricopa County (623) 848-5609

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 Gavin Koenig's NPI number?

The NPI number for Gavin Koenig is 1235711086. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Gavin Koenig located?

Gavin Koenig practices at 13657 W Mcdowell Rd Ste 220, Goodyear, AZ 85395. The listed phone number is (623) 848-5609.

What is Gavin Koenig's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Gavin Koenig enrolled in Medicare?

Yes. Gavin Koenig 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 organizations bill Medicare for Gavin Koenig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gavin Koenig reassigns Medicare benefits to 2 organizations: Northwest Emergency Physicians LLC (Arlington, WA) and Sound Physicians Emergency Medicine Of Washington PLLC (Sedro Woolley, WA). Each 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 Gavin Koenig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gavin Koenig affiliated with any hospitals?

According to CMS data, Gavin Koenig is affiliated with Skagit Valley Hospital, Cascade Valley Hospital and Peacehealth United General Medical Center.

When was this NPI record last updated?

The NPPES record for Gavin Koenig was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.