DR. ANDREW JAMES KOON M.D.
NPI 1457326639
Internal Medicine in Carmel, IN

NPI Status: Active since February 21, 2006

Contact Information

13500 N MERIDIAN ST
CARMEL, IN
ZIP 46032
Phone: (317) 582-7000

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  • Individual
  • Male
  • Years of Experience 25
  • Internal Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ANDREW KOON

Andrew Koon is an internist established in Carmel, Indiana and his medical specialization is Internal Medicine with more than 25 years of experience. He graduated from University Of South Florida College Of Medicine in 1999. The healthcare provider is registered in the NPI registry with number 1457326639 assigned on February 2006. The practitioner's primary taxonomy code is 207R00000X with license number 01059733A (IN). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI1457326639
Provider NameDR. ANDREW JAMES KOON M.D.
Location Address13500 N MERIDIAN ST CARMEL, IN 46032
Location Phone(317) 582-7000
Mailing Address13500 N MERIDIAN ST CARMEL, IN 46032
GenderMale
Entity TypeIndividual
Medical School NameUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year1999
Is Sole Proprietor?No
Enumeration Date02-21-2006
Last Update Date08-24-2010
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An internist like Andrew Koon is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Andrew Koon is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.7 for a new patient copayment and $24.53 for an established patient copayment.

Location Map

Mailing Address

13500 N MERIDIAN ST
CARMEL, IN
ZIP 46032
Phone: (317) 582-7000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code207R00000X
TypeAllopathic & Osteopathic Physicians
License No.01059733A
License StateIN
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

ME81976 (FL)

PECOS Enrollment and Medicare Participation Status

Andrew Koon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9436200482

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090702000192

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46032 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.81
  • Minimum New Patient Price $54.76
  • Maximum New Patient Price $167.54
  • Average New Patient Copayment $31.7
  • Minimum New Patient Copayment $13.69
  • Maximum New Patient Copayment $41.88

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $137.16
  • Average Established Patient Copayment $24.53
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $34.29

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Andrew Koon is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HANCOCK REGIONAL HOSPITAL801 N STATE ST
GREENFIELD, IN 46140
(317) 462-5544Acute Care Hospitals
RIVERVIEW HEALTH395 WESTFIELD RD
NOBLESVILLE, IN 46060
(317) 773-0760Acute Care Hospitals

Reviews for DR. ANDREW JAMES KOON M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457326639
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24107621266
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 6 + 2 + 1 + 2 + 6 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1457326639 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902830094MRS. KAREN S WALL PHARMD
Individual
Pharmacist13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-8096
1447391586DR. RUDOLPH V FOY MD
Individual
General Acute Care Hospital13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7678
1831158807MID AMERICA CLINICAL LABORATORIES, LLC
Organization
Clinical Medical Laboratory13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 803-0707
1619511201 SHELBY NICOLE DUNCAN RD, LD
Individual
Dietitian, Registered13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-8458
1962802660 STEVEN PETER CHOU
Individual
Internal Medicine13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7000
1639124134ST. VINCENT CARMEL HOSPITAL, INC.
Organization
General Acute Care Hospital13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7380
1154913465 JOY DAWN ISNER RUGENSTEIN NP
Individual
Nurse Practitioner (Primary Care)13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7000
1568934271 PAPA M DIOP AGPCNP
Individual
Nurse Practitioner (Primary Care)13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7000
1386271310 CLAIRE DOUGHERTY DO
Individual
Internal Medicine13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7000
1053436378 JESSICA ANN MARKIEWICZ PA- C
Individual
Physician Assistant (Medical)13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7000
1053973727MISS LAUREN CHRISTINE TANDARICH PA-C
Individual
Physician Assistant13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7000
1275987737 SEAN TOKITA DO
Individual
Emergency Medicine13500 N MERIDIAN ST
CARMEL, IN 46032
(626) 354-3195
1538944293 ALEXIS JOHNSON
Individual
Nurse Practitioner (Family)13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7000
1235905498 ERICA BUENGER MS, RD, LD
Individual
Dietitian, Registered13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7000
1629406426 VERONICA MORGAN
Individual
Physician Assistant13500 N MERIDIAN ST
CARMEL, IN 46032
(317) 582-7000

Frequently Asked Questions

What is Dr. Andrew Koon M.D. NPI number?

The NPI number assigned to this healthcare provider is 1457326639, enumerated in the NPI registry as an "individual" on February 21, 2006

Where is the provider located?

The provider is located at 13500 N Meridian St Carmel, In 46032 and the phone number is (317) 582-7000

What is the provider specialty code?

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

How many years of experience does Dr. Andrew Koon M.D. have?

The provider has more than 25 years of experience. He graduated from University Of South Florida College Of Medicine in 1999.

Is Dr. Andrew Koon M.D. registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Dr. Andrew Koon M.D.?

Medicare beneficiaries should expect a typical cost of $126.81 with an average copayment of $31.7 for new patient appointments. Established patients should expect a typical charge of $98.12 and an average copayment of 24.53. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Dr. Andrew Koon M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): HANCOCK REGIONAL HOSPITAL and RIVERVIEW HEALTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on February 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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