James Koon, MD
NPI 1093792608 · Family Medicine Physician · Kershaw, SC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Koon, MD is a Family Medicine Physician provider in Kershaw, SC (NPI 1093792608).
Provider details
- NPI number
- 1093792608
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 18339 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
806 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 198 | $120 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 166 | $16 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 97 | $40 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 79 | $85 |
| Automated Urinalysis Test81003 | 69 | $2 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 151 | 138 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 108 | 107 |
| Doxycycline Hyclate | 96 | 93 |
| Mupirocin | 63 | 62 |
| Fluconazole | 53 | 47 |
| Ondansetronbrand: Ondansetron Odt | 40 | 40 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 36 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$58 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-23
- Last updated
- 2008-08-05
Frequently asked questions
- What is James Koon's NPI number?
- James Koon's National Provider Identifier (NPI) is 1093792608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Koon's specialty?
- James Koon is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is James Koon located?
- James Koon's practice location on file with NPPES is 206 S Matson St, Kershaw, SC 29067-1506.
- What is James Koon's phone number?
- The practice phone number listed in the NPPES registry for James Koon is (803) 475-1156.
- Does James Koon accept Medicare?
- James Koon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Koon's NPI active?
- Yes — James Koon's NPI (1093792608) is active in the NPPES registry as of the last update on 2008-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.