James Koon, DPM
NPI 1609983345 · Podiatrist · Winter Haven, FL
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Koon, DPM is a Podiatrist provider in Winter Haven, FL (NPI 1609983345).
Provider details
- NPI number
- 1609983345
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- PO2691 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
1,401 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 | 568 | $88 |
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 250 | $43 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 175 | $53 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 159 | $109 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 82 | $70 |
| Removal of Noncancer Thickened Skin Growth, 1 Growth11055 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pregabalin | 64 | 17 |
| Gentamicin Sulfate | 58 | 54 |
| Gabapentin | 56 | 12 |
| Cephalexin | 48 | 30 |
| Terbinafine Hcl | 21 | — |
| Allopurinol | 20 | — |
| Ciprofloxacin Hcl | 19 | — |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$496 across 6 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
- 2006-08-25
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Frequently asked questions
- What is James Koon's NPI number?
- James Koon's National Provider Identifier (NPI) is 1609983345, 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 Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is James Koon located?
- James Koon's practice location on file with NPPES is 635 1st St N, Winter Haven, FL 33881-4129.
- What is James Koon's phone number?
- The practice phone number listed in the NPPES registry for James Koon is (863) 294-0670.
- 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 (1609983345) is active in the NPPES registry as of the last update on 2026-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.