DR. JAMES MICHAEL KOON JR. DMD
NPI 1992258768
Dentist - Oral and Maxillofacial Surgery in Apo, AE
About Dr. James Michael Koon Jr. Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES MICHAEL KOON JR. DMD (NPI 1992258768) is an individual oral and maxillofacial surgery provider in Apo, AE, licensed in Georgia (DN015169) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Dr. James Michael Koon Jr. Dmd 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 Reassignment
Medicare enrollment records show James Koon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 8 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.
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.
APO AE, NY 09180
APO, AE 09180
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 James Koon's NPI number?
The NPI number for James Koon is 1992258768. It was assigned to this individual provider in the NPPES registry on July 28, 2016.
Where is James Koon located?
James Koon practices at Cmr 402 Unit 33301, Apo, AE 09180. The listed phone number is (314) 636-9210.
What is James Koon's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is James Koon enrolled in Medicare?
Yes. James 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.
Which organization bills Medicare for James Koon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Koon reassigns Medicare benefits to Gipson, Arquitt, Meyer And Shaner DDS, PC (Springfield, MO). The 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 James Koon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Koon accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 15 other insurers list James 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.
When was this NPI record last updated?
The NPPES record for James Koon was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. James Michael Koon Jr., DMD · NPI 1992258768
Oral and Maxillofacial Surgery provider in Apo, AE. Individual provider, active in the CMS NPPES registry since July 28, 2016.
## Identity
- **NPI:** 1992258768 (Entity type: Individual)
- **Enumerated:** July 28, 2016
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DN015169 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** CMR 402, UNIT 33301, Apo, AE 09180
- **Phone:** (314) 636-9210
## 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:** Gipson, Arquitt, Meyer And Shaner DDS, PC (NPI 1801091657, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** April 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1992258768) · Data from the CMS NPPES public registry.