DR. MARY C KOENIGS (MD) – Family Medicine Physician, NPI 1053363903

DR. MARY C KOENIGS (MD) is a healthcare provider. based in Dubuque, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35713 (IA). The NPI Number for DR. MARY C KOENIGS (MD) is 1053363903

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY C KOENIGS (MD)
NPI
1053363903
Phone
(563) 584-4100
Address
1500 ASSOCIATES DR
Enumeration Date
17 May 2006
Last Update Date
26 June 2015

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
8157770900
Graduation Year
2003 (23 years ago)
PAC ID
6800884263
Group Practice PAC ID
3870491228
Professional Enrollment ID
I20060922000417
Address ID
IL610368222GA10988BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

Provider Addresses for DR. MARY C KOENIGS (MD)

  • Medical Associates Clinic, 1500, Associates Drive, Dubuque, Dubuque County, Iowa, 52002, United States

    DUBUQUE, IA 52002

    Phone: (563) 584-4100

    Fax: (563) 584-4110

    Type: Mailing

  • 10988 BARTEL BLVD

    GALENA, IL 610368222

    Phone: (815) 777-0900

    Fax: (815) 777-0903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-09-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040504000916IFamily PracticeIATBD
I20060922000417IFamily PracticeILTBD

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.

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
99214Established patient office or other outpatient visit, 30-39 minutes407142$0
36415Insertion of needle into vein for collection of blood sample309130$0
80053Blood test, comprehensive group of blood chemicals180125$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count179124$0
84443Blood test, thyroid stimulating hormone (tsh)139100$0
View full utilization report →

Insurance plans in this area (ZIP 52002)

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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: 3870491228View full group profile
NameSpecialtyState
Physician AssistantIA
-IA
D E R M A T O L O G YWI
Physical Medicine And RehabilitationIA
-IA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
-IA
Physician AssistantIA
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

How do payers reference DR. MARY C KOENIGS (MD)?
For DR. MARY C KOENIGS (MD), use NPI 1053363903 as the unique 10-digit identifier.
Active or inactive — what applies to DR. MARY C KOENIGS (MD)?
You should see DR. MARY C KOENIGS (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. MARY C KOENIGS (MD)?
DR. MARY C KOENIGS (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARY C KOENIGS (MD) located near Dubuque?
DR. MARY C KOENIGS (MD) currently maps to Dubuque, Iowa in this extract.
Does DR. MARY C KOENIGS (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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