Amber N Koon, DO
Individual provider Active NPI Surgery Physician · Henderson, KY
NPI 1609288752 · NPPES record last updated Dec 19, 2019
Key facts
- NPI
- 1609288752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 04621 (KY)
- Practice address
- 1413 N Elm St Ste 204
Henderson, KY 42420-2773 - Phone
- (270) 830-9973
- Fax
- (270) 830-9975
- NPI assigned
- May 23, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Health, Inc.
Practice addresses (Care Compare)
1413 N Elm St
Suite 204
Henderson, KY 42420-2773
Phone (270) 830-9973
Hospital & facility affiliations
- Deaconess Henderson Hospital
- Methodist Hospital Union County
- The Women'S Hospital
- Sutter Medical Center, Sacramento
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.82 of 100
- Quality
- 91.59
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.82
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200117001130 | KY | Practitioner - General Surgery | 9133344484 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04621 | KY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Union County Hospital, Inc | Current | Accepting new patients | |
| Methodist Health, Inc. | Current | Accepting new patients | |
| Deaconess Clinic Inc | Current |
Accepting new patients | |
| Deaconess Union County Hospital, Inc | Current |
Accepting new patients | |
| Methodist Health, Inc. | Past | Accepting new patients |
Locations
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
2000 N Elm St
Henderson, KY 42420
Phone (270) 827-3573
1305 N Elm St
Ste B
Henderson, KY 42420
Phone (270) 827-7193
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000
1284 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-2323
Interoperability endpoints
- akoon215083@direct.deaconess.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 04621 | KY | Yes |
Addresses
Primary practice location
1413 N Elm St Ste 204
Henderson, KY 42420-2773
Mailing address
1413 N Elm St Ste 204
Henderson, KY 42420-2773
Phone (270) 830-9973
Other names
- Amber Nicole Pelzl
Other providers in Henderson, KY
- Kids 1St Therapy Services, LLC
- Jacob R. Kiper
- Laura L Kirk
- Joshua Seay Kitchens
- Emily R Knapp
- Garrett Chase Koon
- Lauren Marie Krampe
- Linda Kreisle
- Jelena Kuzeljevic
- Natalie Ann Lancaster
All providers in Henderson, KY · Surgery Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.