AMBER N KOON DO
NPI 1609288752
Surgery in Henderson, KY

Active since May 23, 2014PECOS EnrolledAccepts Medicare Assignment
82.82/100
CMS Quality Rating
1413 N ELM ST STE 204, HENDERSON, KY 42420(270) 830-9973(270) 830-9975 Get Directions Write a Review

NPPES record last updated: December 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amber N Koon Do NPPES

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

AMBER N KOON DO (NPI 1609288752) is an individual surgery provider in Henderson, Kentucky, licensed in Kentucky (04621) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Women's Hospital The, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609288752
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameAMBER N KOONCredential: DO
Location Address1413 N ELM ST STE 204Henderson, KY 42420-2773
Mailing Address1413 N Elm St Ste 204Henderson, KY 42420-2773 · (270) 830-9973 · Fax (070) 830-9975
Fax(270) 830-9975
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 23, 2014
Last NPPES UpdateDecember 19, 2019
NPI 1609288752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in KY · 04621
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1413 N ELM ST STE 204, Henderson, KY 42420

Other Names 1

Former Name (1)Amber Nicole Pelzl

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

Amber N Koon Do 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 ID9133344484
PECOS Enrollment IDI20200117001130
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 6

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services12 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.
15 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 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.
13 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Women's Hospital The

Acute Care Hospitals · Newburgh, IN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number150149
Location4199 Gateway BlvdNewburgh, IN 47630 · Warrick County
Emergency services Birthing friendly

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180056
Location1305 N Elm StHenderson, KY 42420 · Henderson County
Emergency services Birthing friendly

Methodist Hospital Union County

Critical Access Hospitals · Morganfield, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181306
Location4604 Us Highway 60 WestMorganfield, KY 42437 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42420 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

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.

82.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.28
Promoting Interoperability100
Improvement Activities40
Cost45.24

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
1413 N ELM ST STE 204
HENDERSON, KY 42420
Surgery
1413 N ELM ST STE 204
HENDERSON, KY 42420

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 Amber Koon's NPI number?

The NPI number for Amber Koon is 1609288752. It was assigned to this individual provider in the NPPES registry on May 23, 2014. The provider is also known as Amber Nicole Pelzl.

Where is Amber Koon located?

Amber Koon practices at 1413 N Elm St Ste 204, Henderson, KY 42420. The listed phone number is (270) 830-9973.

What is Amber Koon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Amber Koon enrolled in Medicare?

Yes. Amber 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 Amber Koon accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Amber 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 Amber Koon affiliated with any hospitals?

According to CMS data, Amber Koon is affiliated with Women's Hospital The, Deaconess Henderson Hospital and Methodist Hospital Union County.

When was this NPI record last updated?

The NPPES record for Amber Koon was last updated on December 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.