NPIMap

Individual provider Active NPI

Jon D Koman, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Reisterstown, MD
National Provider Identifier
1215925128
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
D55676 Issued in MD
Practice address
116 Westminster Pike
Suite 100
Reisterstown, MD 21136-1027
Phone
(410) 833-9300
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X D55676 MD Primary

Addresses

Primary practice location

116 Westminster Pike
Suite 100
Reisterstown, MD 21136-1027

Mailing address

116 Westminster Pike
Suite 100
Reisterstown, MD 21136-1027
Phone (410) 833-9300

Other identifiers 1

IdentifierTypeStateIssuer
293403500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100128000540 MD Practitioner - Orthopedic Surgery 4486757366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000

3304 Guilford Ave
Baltimore, MD 21218-2829
Phone (410) 554-6740

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115
  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
20.42 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement45
Lower limb (leg) arthroscopy (minimally invasive joint repair)23
Upper limb (arm) arthroscopy (minimally invasive joint repair)16
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D55676MDMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2024 Accepting new patients
Koman Orthopedics and Sports Medicine, LLC Sports Medicine CurrentSince May 5, 2014 Accepting new patients
Koman Orthopedics and Sports Medicine Past Accepting new patients
Orthopaedic Specialty Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Koman Orthopaedics and Sports Medicine, LLC Past Accepting new patients

Locations

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

116 Westminster Pike
Ste 100
Reisterstown, MD 21136
Phone (410) 833-9300

116 Westminster Pike
Ste 101
Reisterstown, MD 21136

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIAGCA/Endpoint/JIAGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/JIAGCA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1215925128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WESTMINSTER PIKE",
            "address_2": "SUITE 100",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361027",
            "telephone_number": "410-833-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WESTMINSTER PIKE",
            "address_2": "SUITE 100",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361027",
            "telephone_number": "410-833-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMAN",
        "first_name": "JON",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MD",
            "license": "D55676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293403500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

Verify at the official NPI Registry.