DR. SCOTT GREGORY KOENEMAN PSY.D.
NPI 1356676811
Psychologist - Clinical in Olathe, KS

Active since October 16, 2009Opted out of Medicare · through Apr 1, 2028
2030 E COLLEGE WAY, OLATHE, KS 66062(913) 956-8888 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Scott Gregory Koeneman Psy.d. NPPES

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

DR. SCOTT GREGORY KOENEMAN PSY.D. (NPI 1356676811) is an individual clinical provider in Olathe, Kansas, licensed in Kansas (1866) and active in the NPI registry since October 2009. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1356676811
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SCOTT GREGORY KOENEMANCredential: PSY.D.
Location Address2030 E COLLEGE WAYOlathe, KS 66062-1851
Mailing AddressPo Box 4755Olathe, KS 66063-4755
Sole ProprietorYes
Enumeration DateOctober 16, 2009
Last NPPES UpdateMarch 19, 2013
NPI 1356676811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in KS · 1866 Licensed in MO · 2008032449
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2030 E COLLEGE WAY, Olathe, KS 66062

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Scott Gregory Koeneman Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66062 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
$161.67 typical visit price
range $53.00 – $161.67
Typical copayment $40.41 (range $13.25 – $40.41)
Most-billed visit code 99205
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 13

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

Specialist/Technologist (Athletic Trainer)
2030 E COLLEGE WAY
OLATHE, KS 66062
Psychologist (Counseling)
2030 E COLLEGE WAY, 231 METZ HALL- COUNSLEOR EDUCATION
OLATHE, KS 66062
Counselor (Professional)
2030 E COLLEGE WAY
OLATHE, KS 66062
Specialist/Technologist (Athletic Trainer)
2030 E COLLEGE WAY
OLATHE, KS 66062
Specialist/Technologist (Athletic Trainer)
2030 E COLLEGE WAY
OLATHE, KS 66062
Specialist/Technologist (Athletic Trainer)
2030 E COLLEGE WAY
OLATHE, KS 66062
Counselor
2030 E COLLEGE WAY
OLATHE, KS 66062
Counselor (Professional)
2030 E COLLEGE WAY
OLATHE, KS 66062

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 Scott Koeneman's NPI number?

The NPI number for Scott Koeneman is 1356676811. It was assigned to this individual provider in the NPPES registry on October 16, 2009.

Where is Scott Koeneman located?

Scott Koeneman practices at 2030 E College Way, Olathe, KS 66062. The listed phone number is (913) 956-8888.

What is Scott Koeneman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Scott Koeneman enrolled in Medicare?

No. Scott Koeneman has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Scott Koeneman was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.