James Koban, MD
NPI 1174589857 · Psychiatry Physician · Somerset, PA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Koban, MD is a Psychiatry Physician provider in Somerset, PA (NPI 1174589857).
Provider details
- NPI number
- 1174589857
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD048058L (PA)
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
185 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 | 94 | $121 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 91 | $85 |
Typical Medicare-allowed amounts for these services range $85–$121 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 59 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Quetiapine Fumarate | 371 | 33 |
| Clonazepam | 229 | 24 |
| Lorazepam | 226 | 28 |
| Olanzapine | 217 | 20 |
| Aripiprazole | 205 | 27 |
| Bupropion Hclbrand: Bupropion Xl | 183 | 27 |
| Divalproex Sodium | 180 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$339 across 13 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
- 2006-04-21
- Last updated
- 2009-09-01
Frequently asked questions
- What is James Koban's NPI number?
- James Koban's National Provider Identifier (NPI) is 1174589857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Koban's specialty?
- James Koban is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is James Koban located?
- James Koban's practice location on file with NPPES is 245 West Race Street, Somerset, PA 15501.
- What is James Koban's phone number?
- The practice phone number listed in the NPPES registry for James Koban is (814) 443-4891.
- Does James Koban accept Medicare?
- James Koban is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Koban's NPI active?
- Yes — James Koban's NPI (1174589857) is active in the NPPES registry as of the last update on 2009-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.