Koley Pack
NPI 1255994836 · Family Medicine Physician · Amarillo, TX
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koley Pack is a Family Medicine Physician provider in Amarillo, TX (NPI 1255994836).
Provider details
- NPI number
- 1255994836
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- T8007 (TX)
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
7 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
258 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 99 | $91 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 61 | $128 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 41 | $9 |
| Automated Urinalysis Test81003 | 18 | $2 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 15 | $134 |
| 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 · 39 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 64 | 22 |
| Levothyroxine Sodium | 63 | 19 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 47 | 13 |
| Lisinopril | 47 | 16 |
| Dulaglutidebrand: Trulicity | 46 | — |
| Gabapentin | 40 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$63 across 4 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
- 2019-04-18
- Last updated
- 2022-09-08
- Certified
- 2022-08-04
Frequently asked questions
- What is Koley Pack's NPI number?
- Koley Pack's National Provider Identifier (NPI) is 1255994836, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Koley Pack's specialty?
- Koley Pack is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Koley Pack located?
- Koley Pack's practice location on file with NPPES is 2001 S Coulter St, Amarillo, TX 79106-2521.
- What is Koley Pack's phone number?
- The practice phone number listed in the NPPES registry for Koley Pack is (806) 318-5777.
- Does Koley Pack accept Medicare?
- Koley Pack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Koley Pack's NPI active?
- Yes — Koley Pack's NPI (1255994836) is active in the NPPES registry as of the last update on 2022-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.