COURTNEY KING MD
NPI 1467745950
Family Medicine in Santa Rosa, CA

Q: What is Courtney King's NPI number?

The NPI number for Courtney King is 1467745950. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Q: What is Courtney King's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: Is Courtney King enrolled in Medicare?

No. Courtney King has opted out of Medicare through September 27, 2027. 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.

Q: When was this NPI record last updated?

The NPPES record for Courtney King was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 17, 2011Opted out of Medicare · through Sep 27, 2027

4702 STARBUCK AVE, SANTA ROSA, CA 95409(707) 407-9071 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Courtney King Md NPPES

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

COURTNEY KING MD (NPI 1467745950) is an individual family medicine provider in Santa Rosa, California, licensed in California (A133018) and active in the NPI registry since May 2011. She has opted out of Medicare through September 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1467745950

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCOURTNEY KINGCredential: MD

Location Address4702 STARBUCK AVESanta Rosa, CA 95409

Mailing Address122 Calistoga Rd Ste 620Santa Rosa, CA 95409-3702 · (707) 407-9071

Phone(707) 407-9071

Sole ProprietorNo

Enumeration DateMay 17, 2011

Last NPPES UpdateJune 13, 2018

✔ NPI 1467745950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A133018

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4702 STARBUCK AVE, Santa Rosa, CA 95409

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Courtney King Md 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 September 27, 2023 through September 27, 2027.

Opt-Out Effective DateSeptember 27, 2023

Opt-Out In Effect ThroughSeptember 27, 2027Opt-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 95409 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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 Courtney King's NPI number?

The NPI number for Courtney King is 1467745950. It was assigned to this individual provider in the NPPES registry on May 17, 2011.

Where is Courtney King located?

Courtney King practices at 4702 Starbuck Ave, Santa Rosa, CA 95409. The listed phone number is (707) 407-9071.

What is Courtney King's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Courtney King enrolled in Medicare?

No. Courtney King has opted out of Medicare through September 27, 2027. 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 Courtney King was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.