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SAMUEL DAVID KOEBE MD
NPI 1245812106
Radiology - Diagnostic Radiology in Janesville, WI

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment
1000 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 756-6868 Get Directions Write a Review

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

Record update history: Jun 26, 2025, Apr 12, 2023, Apr 21, 2021 (3 updates tracked since 2021).

About Samuel David Koebe Md NPPES

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

SAMUEL DAVID KOEBE MD (NPI 1245812106) is an individual diagnostic radiology provider in Janesville, Wisconsin, licensed in Wisconsin (81759) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Mercy Health System Corp, and is a graduate of University Of Wisconsin School Of Medicine (2021).

NPPES Registry Identity

NPI1245812106
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSAMUEL DAVID KOEBECredential: MD
Location Address1000 MINERAL POINT AVEJanesville, WI 53548-2940
Mailing Address29624 Network PlChicago, IL 60673-1296 · (608) 756-6278
Phone(608) 756-6868
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2021
Enumeration DateApril 21, 2021
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1245812106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in WI · 81759
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1000 MINERAL POINT AVE, Janesville, WI 53548
Open in Google Maps ↗

Other Names 1

Other Name (5)Samuel Koebe Md

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

Samuel David Koebe 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 ID1355743683
PECOS Enrollment IDI20250722002252
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.

Hospital Affiliations CMS Care Compare 2

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

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

BENJAMIN C. MILLER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6508
KARINA LAURA PAULIUS QUINN MD
Plastic Surgery
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
ALESIA L DRAKE DPT, PT
Physical Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6842
PAULINE R CASS PHARMD
Pharmacist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
KAREN SAUNDERS OT
Occupational Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
DR. MERLE S RUST MD
Neurological Surgery
1000 MINERAL POINT AVE, MERCY WEST NEUROSURGERY
JANESVILLE, WI 53548
Rock County (608) 756-6826
DR. MICHAEL V COOGAN MD
Emergency Medicine (Medical Toxicology)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
CHRISTOPHER B GOODAVISH PA
Physician Assistant
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6868

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 Samuel Koebe's NPI number?

The NPI number for Samuel Koebe is 1245812106. It was assigned to this individual provider in the NPPES registry on April 21, 2021. The provider is also known as Samuel Koebe MD.

Where is Samuel Koebe located?

Samuel Koebe practices at 1000 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-6868.

What is Samuel Koebe's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Samuel Koebe enrolled in Medicare?

Yes. Samuel Koebe 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.

Is Samuel Koebe affiliated with any hospitals?

According to CMS data, Samuel Koebe is affiliated with Mercy Health System Corp and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Koebe was last updated on February 16, 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.