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TAMARA HILL KOONTZ PA
NPI 1699299214
Physician Assistant in Huntersville, NC

Active since July 26, 2017PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
16455 STATESVILLE RD, STE 360, HUNTERSVILLE, NC 28078(704) 801-3300 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 50 more (53 updates tracked since 2017).

About Tamara Hill Koontz Pa NPPES

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

TAMARA HILL KOONTZ PA (NPI 1699299214) is an individual physician assistant in Huntersville, North Carolina, licensed in North Carolina (0010-07483) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699299214
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTAMARA HILL KOONTZCredential: PA
Location Address16455 STATESVILLE RD, STE 360Huntersville, NC 28078-7135
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 801-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 26, 2017
Last NPPES UpdateJuly 15, 202453 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1699299214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NC · 0010-07483
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
16455 STATESVILLE RD, Huntersville, NC 28078
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Tamara Hill Koontz Pa 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 ID3274890892
PECOS Enrollment IDI20171206000991
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.

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.
142 services104 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
59 services35 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.
22 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

MRS. MEREDITH FISHER MENUDIER
Speech-Language Pathologist
16455 STATESVILLE RD
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-3719
JENNIFER LYNN THOMAS NP
Nurse Practitioner
16455 STATESVILLE RD, STE 360
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-3300
NORTHCROSS OBSTETRIC AND GYNECOLOGIC ASSOCIATES
Obstetrics & Gynecology
16455 STATESVILLE RD, STE 400
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-2130
DIONNE MASHAWN SPENCE MA SLP
Speech-Language Pathologist
16455 STATESVILLE RD
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-3719
MECKLENBURG MEDICAL GROUP
Dermatology
16455 STATESVILLE RD, STE 200
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 302-8600
SARA CHRISTINE FLEMING PT
Physical Therapist
16455 STATESVILLE RD
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 355-4645
KATHERINE BROOKS NP
Nurse Practitioner
16455 STATESVILLE RD, STE 360
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-3300
YVETTE ELAINE BESSENT MD
Obstetrics & Gynecology
16455 STATESVILLE RD, SUITE 400
HUNTERSVILLE, NC 28078
Mecklenburg County (704) 801-2130

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 Tamara Koontz's NPI number?

The NPI number for Tamara Koontz is 1699299214. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Where is Tamara Koontz located?

Tamara Koontz practices at 16455 Statesville Rd Ste 360, Huntersville, NC 28078. The listed phone number is (704) 801-3300.

What is Tamara Koontz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tamara Koontz enrolled in Medicare?

Yes. Tamara Koontz 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 Tamara Koontz accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Tamara Koontz 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 Tamara Koontz affiliated with any hospitals?

According to CMS data, Tamara Koontz is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Tamara Koontz was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.