Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RALPH MAXIMILLIAN KOENKER M.D.
NPI 1891734265
Radiology - Diagnostic Radiology in Greenbrae, CA

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
94.77/100
CMS Quality Rating
250 BON AIR RD, GREENBRAE, CA 94904(415) 925-7000 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ralph Maximillian Koenker M.d. NPPES

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

RALPH MAXIMILLIAN KOENKER M.D. (NPI 1891734265) is an individual diagnostic radiology provider in Greenbrae, California, licensed in California (G60981) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Novato, and is a graduate of University Of California, San Diego School Of Medicine (1985).

NPPES Registry Identity

NPI1891734265
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameRALPH MAXIMILLIAN KOENKERCredential: M.D.
Location Address250 BON AIR RDGreenbrae, CA 94904-1702
Mailing AddressPo Box 6102Novato, CA 94948-6102 · (415) 884-3418 · Fax (415) 883-8082
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1985
Enumeration DateJune 4, 2006
Last NPPES UpdateJune 28, 2026
NPPES CertifiedJune 28, 2026
NPI 1891734265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in CA · G60981
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License G60981 (CA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License G60981 (CA)
250 BON AIR RD, Greenbrae, CA 94904

Secondary Practice Location 1

Location 1180 Rowland WayNovato, CA 94945-5009 · Phone (415) 290-1500

Other Identifiers 4

Medicaid00G609810CA
Other300121787CA · Railroad Medicare
Other00G609810CA · Blue Shield
Other300035771CA · Railroad Medicare

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

Ralph Maximillian Koenker M.d. 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 ID4789582909
PECOS Enrollment IDI20060209000255
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 101

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,092 services912 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
480 services453 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
268 services263 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
243 services243 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
243 services243 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
208 services207 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94904 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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.

94.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.84
Improvement Activities40

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
76%74 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
97%145 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%315 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%101 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Registered Nurse (Psychiatric/Mental Health)
250 BON AIR RD
GREENBRAE, CA 94904
Psychiatry & Neurology (Psychiatry)
250 BON AIR RD
GREENBRAE, CA 94904
Internal Medicine
250 BON AIR RD, 3RD FLOOR
GREENBRAE, CA 94904
Psychiatry & Neurology (Psychiatry)
250 BON AIR RD
GREENBRAE, CA 94904
Rehabilitation Practitioner
250 BON AIR RD
GREENBRAE, CA 94904
Counselor (Mental Health)
250 BON AIR RD
GREENBRAE, CA 94904
Advanced Practice Midwife
250 BON AIR RD
GREENBRAE, CA 94904
Registered Nurse
250 BON AIR RD
GREENBRAE, CA 94904

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 Ralph Koenker's NPI number?

The NPI number for Ralph Koenker is 1891734265. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Ralph Koenker located?

Ralph Koenker practices at 250 Bon Air Rd, Greenbrae, CA 94904. The listed phone number is (415) 925-7000.

What is Ralph Koenker's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Ralph Koenker enrolled in Medicare?

Yes. Ralph Koenker 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 Ralph Koenker was last updated on June 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 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.