DR. MICHAEL ZACH KOONTZ MD
NPI 1245410588
Internal Medicine in Monterey, CA

Active since November 04, 2007PECOS EnrolledAccepts Medicare Assignment
96.48/100
CMS Quality Rating
5 HARRIS CT BLDG T, 201, MONTEREY, CA 93940(831) 375-4105(831) 655-1277 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Zach Koontz Md NPPES

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

DR. MICHAEL ZACH KOONTZ MD (NPI 1245410588) is an individual internal medicine provider in Monterey, California, licensed in California (A105130) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2007).

NPPES Registry Identity

NPI1245410588
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL ZACH KOONTZCredential: MD
Location Address5 HARRIS CT BLDG T, 201Monterey, CA 93940-5750
Mailing Address5 Harris Ct Bldg T, 201Monterey, CA 93940-5750 · (831) 375-4105 · Fax (831) 655-1277
Fax(831) 655-1277
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2007
Enumeration DateNovember 4, 2007
Last NPPES UpdateJuly 1, 2014
NPI 1245410588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A105130
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5 HARRIS CT BLDG T, Monterey, CA 93940

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

Dr. Michael Zach Koontz 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.

PECOS PAC ID7911047691
PECOS Enrollment IDI20091211000199
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 59

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
42,000 services51 patients
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
19,641 services37 patients
Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram J1442
Filgrastim (G-CSF) is a medication given via injection to stimulate your body's production of neutrophils, a type of white blood cell that fights infection. It's often used in patients with low neutrophil counts due to certain treatments or conditions.
18,480 services20 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
15,000 services24 patients
Injection, oxaliplatin, 0.5 mg J9263
Oxaliplatin is a chemotherapy drug that is administered via injection. It works by stopping cancer cells from growing and dividing, which helps in the treatment of certain types of cancer. The dosage is 0.5 mg, and it's important to follow your doctor's instructions for this treatment.
11,320 services16 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
9,300 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

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.

96.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.97
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%819 patients5/55-star benchmark: 100%
Breast Cancer Screening
0%315 patients1/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
0%255 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
1%442 patients1/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
80%2,715 patients3/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
99%688 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Plan of Care for Pain
70%161 patients3/55-star benchmark: 100%
Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score better)
Lower rates are better for this measure.
12%34 patients
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%962 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 866 patients
97%866 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers11 claims330 services$2.83 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims6,455 services$0.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$88.54 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier38 claims3,236 services$0.74 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers28 claims28 services$18.98 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers14 claims14 services$12.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Physical Therapist
5 HARRIS CT BLDG T
MONTEREY, CA 93940
Nurse Practitioner
5 HARRIS CT BLDG T, # 201
MONTEREY, CA 93940
Internal Medicine (Hematology & Oncology)
5 HARRIS CT BLDG T, 2ND FLOOR # 201
MONTEREY, CA 93940
Nurse Practitioner
5 HARRIS CT BLDG T
MONTEREY, CA 93940
Nurse Practitioner (Family)
5 HARRIS CT BLDG T
MONTEREY, CA 93940
Non-Pharmacy Dispensing Site
5 HARRIS CT BLDG T, 103
MONTEREY, CA 93940
Family Medicine
5 HARRIS CT BLDG T, SUITE 103
MONTEREY, CA 93940
Podiatrist (Foot & Ankle Surgery)
5 HARRIS CT BLDG T, SUITE 103
MONTEREY, CA 93940

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 Michael Koontz's NPI number?

The NPI number for Michael Koontz is 1245410588. It was assigned to this individual provider in the NPPES registry on November 4, 2007.

Where is Michael Koontz located?

Michael Koontz practices at 5 Harris Ct Bldg T 201, Monterey, CA 93940. The listed phone number is (831) 375-4105.

What is Michael Koontz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Koontz enrolled in Medicare?

Yes. Michael Koontz 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.

When was this NPI record last updated?

The NPPES record for Michael Koontz was last updated on July 1, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.