Justin Koenig, DO
NPI 1821314360 · Surgery Physician · South Bend, IN
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Koenig, DO is a Surgery Physician provider in South Bend, IN (NPI 1821314360).
Provider details
- NPI number
- 1821314360
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02005590A (IN)
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
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
107 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 45 | $72 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 32 | $160 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $84 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 13 | $134 |
Typical Medicare-allowed amounts for these services range $72–$160 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$282 across 7 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
Additional practice locations (2)
- 1020 High RdBremen, IN 46506-1093Phone: (574) 309-9967Fax: (574) 309-9968
- 500 Arcade Ave Ste 320Elkhart, IN 46514-2477Phone: (574) 522-6565Fax: (574) 522-5572
Registry dates
- Enumerated
- 2010-04-08
- Last updated
- 2025-12-01
- Certified
- 2025-12-01
Frequently asked questions
- What is Justin Koenig's NPI number?
- Justin Koenig's National Provider Identifier (NPI) is 1821314360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Koenig's specialty?
- Justin Koenig is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Koenig located?
- Justin Koenig's practice location on file with NPPES is 621 Memorial Dr Ste 502, South Bend, IN 46601.
- What is Justin Koenig's phone number?
- The practice phone number listed in the NPPES registry for Justin Koenig is (574) 647-5875.
- Does Justin Koenig accept Medicare?
- Justin Koenig is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Koenig's NPI active?
- Yes — Justin Koenig's NPI (1821314360) is active in the NPPES registry as of the last update on 2025-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.