TODD LANE KOOY (MD) – Vascular & Interventional Radiology Physician, NPI 1104938208

TODD LANE KOOY (MD) is a healthcare provider. based in Englewood, Colorado. specializing in INTERVENTIONAL RADIOLOGY, DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 26523 (NE). The NPI Number for TODD LANE KOOY (MD) is 1104938208

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
TODD LANE KOOY (MD)
NPI
1104938208
Phone
(303) 761-9190
Address
10700 E GEDDES AVE
Enumeration Date
31 August 2006
Last Update Date
29 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3037886080
Graduation Year
2001 (25 years ago)
PAC ID
8921192204
Group Practice PAC ID
2860391257
Professional Enrollment ID
I20120606000120
Address ID
CO801132702EN501XXAVEX423
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness75
Years active:19State licenses:6Digital endpointsOther names

228 INTERVENTIONAL RADIOLOGY in CO

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Provider Addresses for TODD LANE KOOY (MD)

  • Days Inn Englewood Denver Tech Center, 9719, East Geddes Avenue, Centennial, Arapahoe County, Colorado, 80112, United States

    SUITE 200

    ENGLEWOOD, CO 801123800

    Phone: (303) 761-9190

    Fax: (720) 874-4462

    Type: Mailing

  • 10800 E GEDDES AVE STE 300

    ENGLEWOOD, CO 801123895

    Phone: (303) 761-9190

    Fax: (720) 874-4462

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $3,112.

Total Amount is formed as General ($3,112) + Research ($0) + Ownership ($0) = $3,112.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Boston Scientific Corporation ($901).

Total Amount

$3,112

General + Research + Ownership

Payments

73

Total payment records

General Amount

$3,112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1011 days ago).

Enrollment records

2

Earliest due date

2023-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120606000120IInterventional RadiologyCOTBD
I20130812000798IInterventional RadiologyKS2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view198194$0
71046X-ray of chest, 2 views8482$0
71275Ct scan of blood vessels of chest with contrast5050$0
76937Ultrasonic guidance for blood vessel access4942$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes4036$0
View full utilization report →

Insurance plans in this area (ZIP 80112)

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Provider's Procedures

TODD LANE KOOY (MD) performs procedures in INTERVENTIONAL RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL RADIOLOGYCO93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3534

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860391257View full group profile
NameSpecialtyState
Diagnostic RadiologyCO
Diagnostic Radiology, Interventional RadiologyHI
Diagnostic Radiology, Interventional RadiologyMN
Diagnostic RadiologyCO
Diagnostic RadiologyCO
Diagnostic RadiologyCO
Diagnostic Radiology, Nuclear MedicineCO
Diagnostic RadiologyCO
Diagnostic RadiologyCO
Diagnostic Radiology, Nuclear MedicineCO

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Frequently asked questions

What NPI should I save for TODD LANE KOOY (MD)?
Save NPI 1104938208 if you need a stable reference for TODD LANE KOOY (MD).
Does this profile mean TODD LANE KOOY (MD) is currently active?
Yes — TODD LANE KOOY (MD) appears active in the national provider directory.
What does TODD LANE KOOY (MD) treat or focus on?
Patients typically see TODD LANE KOOY (MD) under the specialty Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for TODD LANE KOOY (MD)?
We surface Englewood, Colorado for TODD LANE KOOY (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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