THADEUS B KOONTZ (MD) – Psychiatry Physician, NPI 1609010156
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
129 PSYCHIATRY in ID
Provider Addresses for THADEUS B KOONTZ (MD)
4477 W Emerald St Ste C100
Boise, ID 837062058
Phone: (208) 321-0160
Fax: (208) 321-0221
Type: Location
3340 E GOLDSTONE DR
MERIDIAN, ID 836421026
Phone: (208) 367-2175
Fax: (208) 376-0285
Type: Mailing
2034 DE LA VINA ST
SANTA BARBARA, CA 931053814
Phone: (805) 681-5450
Fax: (805) 884-6888
Type: Location
6th Avenue, Lewiston, Nez Perce County, Idaho, United States
LEWISTON, ID 835012355
Phone: (208) 750-7462
Type: Location
3340 E GOLDSTONE WAY
MERIDIAN, ID 836421026
Phone: (208) 367-2175
Fax: (208) 376-0285
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $1,373.
Total Amount is formed as General ($1,373) + Research ($0) + Ownership ($0) = $1,373.
Last reported payment date: 2024-05-27 • Largest payer in this snapshot: FUJIFILM Healthcare Americas Corporation ($1,352).
Total Amount
$1,373
General + Research + Ownership
Payments
2
Total payment records
General Amount
$1,373
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| FUJIFILM Healthcare Americas Corporation | $1,352 |
| ACADIA Pharmaceuticals Inc | $21 |
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: 2023-11-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130913000262 | I | Psychiatry | ID | TBD |
| I20231117001089 | I | Psychiatry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 541 | 308 | $0 |
| 99451 | Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes | 506 | 219 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 73 | 73 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 40 | 40 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 38 | 28 | $0 |
Insurance plans in this area (ZIP 83706)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Undefined Non Physician Type (Specify) | ID | |
| Mental Health Counselor | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Clinical Social Worker | ID | |
| Mental Health Counselor | MT | |
| - | ID | |
| - | ID | |
| Mental Health Counselor | OR | |
| - | WY |
Reviews
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