DR. DOUGLAS R. KOONTZ MD, FACS
NPI 1265420509
Neurological Surgery in Frisco, TX

Active since October 11, 2005PECOS Enrolled
4230 PEBBLE CREEK CT, FRISCO, TX 75033(214) 799-6795(469) 353-8390 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Douglas R. Koontz Md, Facs NPPES

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

DR. DOUGLAS R. KOONTZ MD, FACS (NPI 1265420509) is an individual neurological surgery provider in Frisco, Texas, licensed in Virginia (0101257495) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265420509
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. DOUGLAS R. KOONTZCredential: MD, FACS
Location Address4230 PEBBLE CREEK CTFrisco, TX 75033-2910
Mailing Address4230 Pebble Creek CtFrisco, TX 75033-2910 · (214) 799-6795 · Fax (469) 353-8390
Fax(469) 353-8390
Sole ProprietorYes
Enumeration DateOctober 11, 2005
Last NPPES UpdateOctober 15, 2015
✔ NPI 1265420509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in VA · 0101257495✔ Licensed in OK · 13775✔ Licensed in NY · 268200✔ Licensed in SC · 37815
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4230 PEBBLE CREEK CT, Frisco, TX 75033

Other Identifiers 4

Medicare ID-Type Unspecified900522063OK
Medicare PINSC58035736SC
Medicare UPINC95123
Medicaid100118150AOK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas R. Koontz Md, Facs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Douglas Koontz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
919 HIDDEN RDG, 6TH FLOOR
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 179 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75033 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Douglas Koontz's NPI number?

The NPI number for Douglas Koontz is 1265420509. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Douglas Koontz located?

Douglas Koontz practices at 4230 Pebble Creek Ct, Frisco, TX 75033. The listed phone number is (214) 799-6795.

What is Douglas Koontz's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Douglas Koontz enrolled in Medicare?

Yes. Douglas Koontz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Koontz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Koontz reassigns Medicare benefits to 2 organizations: C H Wilkinson Physician Network (Irving, TX) and Christus Trinity Clinic Texas (Tyler, TX). 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 Douglas Koontz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Koontz accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Douglas Koontz 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.

When was this NPI record last updated?

The NPPES record for Douglas Koontz was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.