Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. GAGE MICHAEL KOON OD
NPI 1508791369
Optometrist in Granger, IN

Q: What is Gage Koon's NPI number?

The NPI number for Gage Koon is 1508791369. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Q: What is Gage Koon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gage Koon was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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 June 15, 2026PECOS Enrolled

13197 STATE ROAD 23, GRANGER, IN 46530(574) 247-1500(574) 247-1505 Get Directions Write a Review

NPPES record added: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Gage Michael Koon Od NPPES

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

DR. GAGE MICHAEL KOON OD (NPI 1508791369) is an individual optometrist in Granger, Indiana, licensed in Indiana (18004649A) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508791369

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GAGE MICHAEL KOONCredential: OD

Location Address13197 STATE ROAD 23Granger, IN 46530-9225

Mailing Address13197 State Road 23Granger, IN 46530-9225 · (574) 247-1500 · Fax (574) 247-1505

Phone(574) 247-1500

Fax(574) 247-1505

Sole ProprietorNo

Enumeration DateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1508791369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in IN · 18004649A

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

13197 STATE ROAD 23, Granger, IN 46530

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gage Michael Koon Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46530 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

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 4

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

GRANGER FAMILY EYECARE INC

Optometrist

13197 STATE ROAD 23
GRANGER, IN 46530

St. Joseph County (574) 247-1500

MICHAEL DEWIT OD

Optometrist

13197 STATE ROAD 23
GRANGER, IN 46530

St. Joseph County (812) 855-8436

DR. TARA LYNN SVATOS O.D.

Optometrist

13197 STATE ROAD 23
GRANGER, IN 46530

St. Joseph County (574) 247-1500

MIDWEST EYE CONSULTANTS, P.C.

Optometrist

13197 STATE ROAD 23
GRANGER, IN 46530

St. Joseph County (574) 247-1500

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 Gage Koon's NPI number?

The NPI number for Gage Koon is 1508791369. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Gage Koon located?

Gage Koon practices at 13197 State Road 23, Granger, IN 46530. The listed phone number is (574) 247-1500.

What is Gage Koon's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Gage Koon enrolled in Medicare?

Yes. Gage Koon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gage Koon was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.