1. Home
  2. Directory
  3. Texas
  4. Amarillo
  5. Family Medicine
  6. NPI Profile

KOLEY CHANCE PACK
NPI 1255994836
Family Medicine in Amarillo, TX

Active since April 18, 2019PECOS EnrolledAccepts Medicare Assignment
2001 S COULTER ST, AMARILLO, TX 79106(806) 318-5777(806) 513-6926 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, Apr 18, 2019 (2 updates tracked since 2019).

About Koley Chance Pack NPPES

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

KOLEY CHANCE PACK (NPI 1255994836) is an individual family medicine provider in Amarillo, Texas, licensed in Texas (T8007) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255994836
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKOLEY CHANCE PACK
Location Address2001 S COULTER STAmarillo, TX 79106-2521
Mailing Address2001 S Coulter StAmarillo, TX 79106-2521 · (806) 318-5777 · Fax (806) 513-6926
Phone(806) 318-5777
Fax(806) 513-6926
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 18, 2019
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1255994836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · T8007
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2001 S COULTER ST, Amarillo, TX 79106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Koley Chance Pack 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 ID5395074942
PECOS Enrollment IDI20220817001670
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 6

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 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.
99 services73 patients
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.
61 services38 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
41 services30 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Critical Access Hospitals · Dumas, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451386
Location224 E Second StreetDumas, TX 79029 · Moore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79106 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

NUMBER ONE CARE PA
Physical Medicine & Rehabilitation
2001 S COULTER ST
AMARILLO, TX 79106
Potter County (806) 351-2273
SHONDA SCHOON FNP
Clinical Nurse Specialist (Family Health)
2001 S COULTER ST, 2001 S COULTER ST.
AMARILLO, TX 79106
Potter County (806) 350-7918

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 Koley Pack's NPI number?

The NPI number for Koley Pack is 1255994836. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Koley Pack located?

Koley Pack practices at 2001 S Coulter St, Amarillo, TX 79106. The listed phone number is (806) 318-5777.

What is Koley Pack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Koley Pack enrolled in Medicare?

Yes. Koley Pack 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 Koley Pack accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Koley Pack 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 Koley Pack affiliated with any hospitals?

According to CMS data, Koley Pack is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Koley Pack was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.