JERRY S KOH MD
NPI 1881705200
Internal Medicine in Everett, WA
About Jerry S Koh Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERRY S KOH MD (NPI 1881705200) is an individual internal medicine provider in Everett, Washington, licensed in Washington (MD00045296) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains a secondary practice location in Everett.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jerry S Koh Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jerry Koh reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 135 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 705 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 57 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 1,285 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Regional Medical Center Everett
Acute Care Hospitals · Everett, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Jerry Koh's NPI number?
The NPI number for Jerry Koh is 1881705200. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Jerry Koh located?
Jerry Koh practices at 1321 Colby Ave, Everett, WA 98201. The listed phone number is (425) 261-2000.
What is Jerry Koh's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Jerry Koh enrolled in Medicare?
Yes. Jerry Koh 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.
Which organizations bill Medicare for Jerry Koh's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Koh reassigns Medicare benefits to 4 organizations: Providence Health & Services-Wa (Everett, WA), Providence Health & Services-Washington (Everett, WA), Vituity-Hm Services PC (Everett, WA) and Optum Care Washington PLLC (Everett, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerry Koh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Koh accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jerry Koh 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 Jerry Koh affiliated with any hospitals?
According to CMS data, Jerry Koh is affiliated with Providence Regional Medical Center Everett.
When was this NPI record last updated?
The NPPES record for Jerry Koh was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jerry S Koh, MD · NPI 1881705200
Internal Medicine physician in Everett, Washington. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1881705200 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD00045296 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1321 COLBY AVE, Everett, WA 98201-1665
- **Phone:** (425) 261-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services-Wa (NPI 1033360144, Everett, WA); Providence Health & Services-Washington (NPI 1114236791, Everett, WA); Vituity-Hm Services PC (NPI 1427974641, Everett, WA); Optum Care Washington PLLC (NPI 1831186766, Everett, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Chicago College Of Medicine And Surgery, class of 2003
## Record status
- **NPPES last updated:** March 29, 2021
- **Other identifiers:** Other MD00045296 (WA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1881705200) · Data from the CMS NPPES public registry.