JOHN PAUL KOONCE MD
NPI 1538180393
Urology in Jefferson City, MO
NPI Status: Active since July 21, 2006
Contact Information
3207 W TRUMAN BLVD
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 636-5115
Fax: (573) 636-2818
- Individual
- Male
- Urology
- PECOS Enrolled
About JOHN KOONCE
This page provides the complete NPI Profile along with additional information for John Koonce, a provider established in Jefferson City, Missouri with a medical specialization in Urology. The healthcare provider is registered in the NPI registry with number 1538180393 assigned on July 2006. The practitioner's primary taxonomy code is 208800000X with license number R1D96 (MO). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1538180393
- Provider Name
- JOHN PAUL KOONCE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3207 W TRUMAN BLVD JEFFERSON CITY, MO 65109
- Location Phone
- (573) 636-5115
- Location Fax
- (573) 636-2818
- Mailing Address
- 3207 W TRUMAN BLVD JEFFERSON CITY, MO 65109
- Mailing Phone
- (573) 636-5115
- Mailing Fax
- (573) 636-2818
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-21-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R1D96
- License State
- MO
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A11068 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
John Koonce is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 65109 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.96
- Minimum New Patient Price $52.28
- Maximum New Patient Price $161.24
- Average New Patient Copayment $30.49
- Minimum New Patient Copayment $13.07
- Maximum New Patient Copayment $40.31
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $65.71
- Minimum Established Patient Price $16.3
- Maximum Established Patient Price $131.05
- Average Established Patient Copayment $16.42
- Minimum Established Patient Copayment $4.07
- Maximum Established Patient Copayment $32.76
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 1 | 8 | 0 | 3 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 2 | 8 | 0 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 2 + 8 + 0 + 3 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1538180393 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174569883 | DR. DAVID STEPHEN CARRON D.P.M Individual | Podiatrist | 3207 W TRUMAN BLVD SUITE C JEFFERSON CITY, MO 65109 (573) 659-2376 |
| 1992724694 | MICHAEL A YOUNG D.O. Individual | Internal Medicine (Nephrology) | 3207 W TRUMAN BLVD JEFFERSON CITY, MO 65109 (573) 635-2495 |
| 1255352043 | DOUGLAS ALAN WEST MD Individual | Urology | 3207 W TRUMAN BLVD JEFFERSON CITY, MO 65109 (573) 636-5115 |
| 1790708907 | MICHAEL SCOTT SEVERANCE MD Individual | Urology | 3207 W TRUMAN BLVD JEFFERSON CITY, MO 65109 (573) 636-5115 |
| 1164534640 | ERIC IVAN VOGT MD Individual | Urology | 3207 W TRUMAN BLVD JEFFERSON CITY, MO 65109 (573) 636-5115 |
| 1558682674 | DR. JERRY JEFF TRULSON M.D. Individual | Urology | 3207 W TRUMAN BLVD JEFFERSON CITY, MO 65109 (573) 636-5115 |
| 1427071844 | FOOT HEALTH CENTER OF MID-MISSOURI LLC Organization | Podiatrist | 3207 W TRUMAN BLVD JEFFERSON CITY, MO 65109 (573) 659-2376 |
| 1477548352 | THOMAS B NITTLER MD Individual | Emergency Medicine | 3207 W TRUMAN BLVD STE A JEFFERSON CITY, MO 65109 (573) 298-6855 |
| 1780723205 | UROLOGY CARE, INC. Organization | Urology | 3207 W TRUMAN BLVD JEFFERSON CITY, MO 65109 (573) 636-5115 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538180393, enumerated in the NPI registry as an "individual" on July 21, 2006
The provider is located at 3207 W Truman Blvd Jefferson City, Mo 65109 and the phone number is (573) 636-5115
The provider's speciality is Urology with taxonomy code 208800000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $121.96 with an average copayment of $30.49 for new patient appointments. Established patients should expect a typical charge of $65.71 and an average copayment of 16.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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