PAUL WILLIAM KOONTZ M.D.
NPI 1437228152
Pathology - Anatomic Pathology & Clinical Pathology in Springfield, MO

Q: What is Paul Koontz's NPI number?

The NPI number for Paul Koontz is 1437228152. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Paul Koontz's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Paul Koontz was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment

90.52/100

CMS Quality Rating

1000 E PRIMROSE ST STE 550, SPRINGFIELD, MO 65807(417) 269-4647 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Paul William Koontz M.d. NPPES

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

PAUL WILLIAM KOONTZ M.D. (NPI 1437228152) is an individual anatomic pathology & clinical pathology provider in Springfield, Missouri, licensed in Missouri (2002028070) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1437228152

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NamePAUL WILLIAM KOONTZCredential: M.D.

Location Address1000 E PRIMROSE ST STE 550Springfield, MO 65807-5180

Mailing Address1000 E Primrose St Ste 300Springfield, MO 65807-5178 · (417) 269-4646

Phone(417) 269-4647

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateNovember 7, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1437228152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in MO · 2002028070

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

1000 E PRIMROSE ST STE 550, Springfield, MO 65807

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Other Identifiers 2

Medicare UPING96730MO

Other159012MO · Bluecross Blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Paul William Koontz M.d. 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 ID1254499684

PECOS Enrollment IDI20100818000006

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 19

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

951 services570 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

166 services55 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

154 services86 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

107 services90 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

101 services85 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

96 services94 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

82 services64 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

71 services67 patients

Immunologic analysis technique on serum (immunofixation) 86334

Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.

40 services38 patients

Immunologic analysis technique on body fluid, other fluids with concentration 86335

Immunologic analysis is a diagnostic method that assesses your body fluids to detect health issues. It involves concentrating these fluids to enhance detection of specific proteins or cells. It helps identify immune system responses, aiding in accurate diagnosis and treatment.

32 services32 patients

Protein measurement, body fluid 84166

A protein measurement of body fluid is a test that gauges the amount of proteins in your fluids. This analysis helps in detecting various health conditions. It's done via a simple sample collection process, usually from blood or urine, in a safe and painless manner.

26 services25 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

25 services16 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

21 services21 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

20 services20 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

20 services19 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

18 services16 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

14 services11 patients

Crystal identification from tissue or body fluid 89060

Crystal identification from tissue or body fluid is a medical test that helps identify the presence of certain substances in the body. It involves analyzing samples from your body to detect crystals that may indicate health conditions like gout or kidney stones.

13 services12 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260094

Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County

Emergency services Birthing friendly

Cox Barton County Hospital

Critical Access Hospitals · Lamar, MO

OwnershipGovernment - Local

CMS Certification Number261325

Location29 NW 1st LaneLamar, MO 64759 · Barton County

Emergency services

Cox Monett Hospital

Critical Access Hospitals · Monett, MO

OwnershipVoluntary non-profit - Private

CMS Certification Number261329

Location1000 E Us Highway 60Monett, MO 65708 · Barry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

90.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.05

Improvement Activities

Other Providers at the Same Location NPPES 10

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

JAMES MASON SHELLEY JR. M.D.

Pathology (Anatomic Pathology & Clinical Pathology)