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

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
13500 N MERIDIAN ST, CARMEL, IN 46032(317) 582-7000 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andrew James Koon M.d. NPPES

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

DR. ANDREW JAMES KOON M.D. (NPI 1457326639) is an individual internal medicine provider in Carmel, Indiana, licensed in Indiana (01059733A) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Health, and is a graduate of University Of South Florida College Of Medicine (1999).

NPPES Registry Identity

NPI1457326639
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDREW JAMES KOONCredential: M.D.
Location Address13500 N MERIDIAN STCarmel, IN 46032-1456
Mailing Address13500 N Meridian StCarmel, IN 46032-1456 · (317) 582-7000
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1999
Enumeration DateFebruary 21, 2006
Last NPPES UpdateAugust 24, 2010
NPI 1457326639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in IN · 01059733A Licensed in FL · ME81976
Definition

A 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.

13500 N MERIDIAN ST, Carmel, IN 46032

Accepted 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

Dr. Andrew James Koon 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 ID9436200482
PECOS Enrollment IDI20090702000192
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
219 services114 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
99 services96 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
90 services88 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.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

Speech-Language Pathologist
13500 N MERIDIAN ST
CARMEL, IN 46032
Physician Assistant (Medical)
13500 N MERIDIAN ST
CARMEL, IN 46032
Occupational Therapist
13500 N MERIDIAN ST
CARMEL, IN 46032
Physician Assistant
13500 N MERIDIAN ST
CARMEL, IN 46032
Nurse Practitioner (Primary Care)
13500 N MERIDIAN ST
CARMEL, IN 46032
Obstetrics & Gynecology
13500 N MERIDIAN ST
CARMEL, IN 46032
Dietitian, Registered
13500 N MERIDIAN ST
CARMEL, IN 46032
Occupational Therapist
13500 N MERIDIAN ST
CARMEL, IN 46032

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 Andrew Koon's NPI number?

The NPI number for Andrew Koon is 1457326639. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Andrew Koon located?

Andrew Koon practices at 13500 N Meridian St, Carmel, IN 46032. The listed phone number is (317) 582-7000.

What is Andrew Koon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrew Koon enrolled in Medicare?

Yes. Andrew Koon 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 Andrew Koon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Andrew Koon 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 Andrew Koon affiliated with any hospitals?

According to CMS data, Andrew Koon is affiliated with Riverview Health.

When was this NPI record last updated?

The NPPES record for Andrew Koon was last updated on August 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.