Cassidy J Koonce, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD.31380 Issued in AL

Practice address

707 W Market St Ste C
Athens, AL 35611-2463

Phone

(256) 216-6500

Fax

(256) 216-8777

NPI assigned

Jun 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of South Alabama College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Alabama Vascular and Dialysis Access Care LLCGroup PAC ID 5092121004, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Athens Limestone Hospital Hospital, Athens, AL, CCN 010079
• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
• Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061

Merit-based Incentive Payment System (MIPS)

Final score

88.33 of 100Reported as apm

Quality

82.81

Promoting interoperability

83.07

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cassidy.koonce.p138@direct.lifelinevascular.nextgenshare.com

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.

• Koonce Surgical PC

  • Specialist
  • Athens, AL
  • NPI 1659751915
  Medicare reassignment NPD Authorized official
• North Alabama Vascular and Dialysis Access Care LLC

  • Nephrology Physician
  • Huntsville, AL
  • NPI 1306430947
  Medicare reassignment Care Compare group NPD
• University of South Alabama

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1992746838
  Medicare reassignment NPD
• Tranqui Surgical PC

  • Surgery Physician
  • Athens, AL
  • NPI 1528813052
  NPD
• University of South Alabama

  • Clinical Medical Laboratory
  • Mobile, AL
  • NPI 1497859052
  NPD
• University of South Alabama Mitchell Cancer Institute

  • Multi-Specialty Clinic/Center
  • Mobile, AL
  • NPI 1023210259
  NPD
• Nephrology Consultants LLC

  • Nephrology Physician
  • Huntsville, AL
  • NPI 1699874222
  NPD (past)

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

• HH Health System - Athens Limestone, LLC

  • General Acute Care Hospital
  • Athens, AL
  • NPI 1144695081
  Care Compare affiliation
• HH Health System - Jackson LLC

  • General Acute Care Hospital
  • Scottsboro, AL
  • NPI 1699444976
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1376854976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356120630",
            "telephone_number": "256-216-6500",
            "fax_number": "256-216-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W MARKET ST STE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112463",
            "telephone_number": "256-216-6500",
            "fax_number": "256-216-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONCE",
        "first_name": "CASSIDY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.31380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1659751915",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Kimes
• Tyneishia Cunningham King
• Chandra S Koneru, M.D.
• Vijaya Koneru, M.D.
• Koonce Surgical PC
• Kelley Kott
• Joseph J Kribs, DPT
• Rachel Elizabeth Laberenz, NP-C
• Benjamin W Ladner, M.D.
• David Austin Lang, D.C.

• Surgery Physician in Athens, AL
• Providers in Athens, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.