JUSTIN KOEHL (PA-C) – Physician Assistant, NPI 1952814568
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for JUSTIN KOEHL (PA-C)
555 BIESTERFIELD RD
ELK GROVE VILLAGE, IL 600073306
Phone: (847) 690-1776
Fax: (847) 690-1777
Type: Mailing
2380 Lakewood Blvd
Hoffman Estates, IL 601922025
Phone: (847) 690-1776
Fax: (847) 690-1777
Type: Location
6960, Yorktown Lane, Shelby Charter Township, Macomb County, Michigan, 48317, United States
SHELBY TWP, MI 483174265
Phone: (586) 604-7865
Type: Mailing
Biesterfield Road, Elk Grove Village, Elk Grove Township, Cook County, Illinois, 60007-3545, United States
ELK GROVE VILLAGE, IL 600073306
Phone: (847) 690-1776
Fax: (847) 690-1777
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Vericel Corporation ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vericel Corporation | $25 |
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: 2018-12-19
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 |
|---|---|---|---|---|
| I20180509000262 | I | Physician Assistant | IL | TBD |
| I20181219002492 | I | Physician Assistant | WI | 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 |
|---|---|---|---|---|
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 1,225 | 24 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 124 | 24 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 67 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 31 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 16 | 14 | $0 |
Insurance plans in this area (ZIP 60007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery, Orthopedic Surgery, Hand Surgery | IL | |
| Physician Assistant | NY | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Orthopedic Surgery, Sports Medicine | IL | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery, Sports Medicine | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL |
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