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SHIRLEY SANDY KOON D.O.
NPI 1861716805
Internal Medicine in Sacramento, CA

Active since March 19, 2010PECOS EnrolledAccepts Medicare Assignment
1201 ALHAMBRA BLVD, SUITE 220, SACRAMENTO, CA 95816(916) 731-7925(916) 731-7975 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shirley Sandy Koon D.o. NPPES

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

SHIRLEY SANDY KOON D.O. (NPI 1861716805) is an individual internal medicine provider in Sacramento, California, licensed in California (20A14866) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2010).

NPPES Registry Identity

NPI1861716805
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHIRLEY SANDY KOONCredential: D.O.
Location Address1201 ALHAMBRA BLVD, SUITE 220Sacramento, CA 95816-5238
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(916) 731-7925
Fax(916) 731-7975
Sole ProprietorYes
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2010
Enumeration DateMarch 19, 2010
Last NPPES UpdateAugust 11, 2016
✔ NPI 1861716805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · 20A14866✔ Licensed in WA · OP60389702
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1201 ALHAMBRA BLVD, Sacramento, CA 95816
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN8922791WA
OtherP01230600WA · Railroad Mdc
Medicare PIN8922790WA

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

Shirley Sandy Koon D.o. 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 ID4587800669
PECOS Enrollment IDI20160927001545
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 10

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.
246 services134 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.
67 services67 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.
26 services25 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services22 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
15 services15 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95816 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers25 claims50 services$4.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers12 claims14 services$1.07 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$36.45 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$59.34 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers21 claims2,297 services$0.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MELANY J. CORYEA P.T.A.
Physical Therapy Assistant
1201 ALHAMBRA BLVD, SUITE 200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
SUTTER VALLEY MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
1201 ALHAMBRA BLVD, #200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
JAHNA C CARRERAS PTA
Physical Therapy Assistant
1201 ALHAMBRA BLVD, #200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
LUCIA P RAEL PTA
Physical Therapy Assistant
1201 ALHAMBRA BLVD, SUITE 200
SACRAMENTO, CA 95816
Sacramento County (916) 731-7900
ANNALYSE FELDMAN DO
Family Medicine
1201 ALHAMBRA BLVD, SUITE 230
SACRAMENTO, CA 95816
Sacramento County (916) 731-7848
UYEN HUYNH FREITAS NP
Nurse Practitioner (Family)
1201 ALHAMBRA BLVD
SACRAMENTO, CA 95816
Sacramento County (916) 731-7925
MS. ALICIA GORDON
Physician Assistant
1201 ALHAMBRA BLVD, #230
SACRAMENTO, CA 95816
Sacramento County (916) 731-7728
NICOLE CALVILLO M.D.
Student in an Organized Health Care Education/Training Program
1201 ALHAMBRA BLVD, SUITE 340
SACRAMENTO, CA 95816
Sacramento County (916) 451-4400

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 Shirley Koon's NPI number?

The NPI number for Shirley Koon is 1861716805. It was assigned to this individual provider in the NPPES registry on March 19, 2010.

Where is Shirley Koon located?

Shirley Koon practices at 1201 Alhambra Blvd Suite 220, Sacramento, CA 95816. The listed phone number is (916) 731-7925.

What is Shirley Koon's specialty?

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

Is Shirley Koon enrolled in Medicare?

Yes. Shirley 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.

When was this NPI record last updated?

The NPPES record for Shirley Koon was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.