BENJAMIN ARTHUR KOOIKER (DO) – Emergency Medicine Physician, NPI 1053548933

BENJAMIN ARTHUR KOOIKER (DO) is a healthcare provider. based in Davenport, Iowa. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. DO-4437 (IA). The NPI Number for BENJAMIN ARTHUR KOOIKER (DO) is 1053548933

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN ARTHUR KOOIKER (DO)
NPI
1053548933
Phone
(563) 421-1000
Address
1227 E RUSHOLME ST
Enumeration Date
17 June 2009
Last Update Date
14 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5074543650
Graduation Year
2009 (17 years ago)
PAC ID
5597917740
Group Practice PAC ID
8527977420
Professional Enrollment ID
I20180518000665
Address ID
MN559874868WI855XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,172 EMERGENCY MEDICINE in MN

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Provider Addresses for BENJAMIN ARTHUR KOOIKER (DO)

  • Genesis Medical Center, 1227, East Rusholme Street, Davenport, Scott County, Iowa, 52803, United States

    DAVENPORT, IA 528032459

    Phone: (563) 421-1000

    Type: Mailing

  • Bambini's Coffee, 2450, Riverside Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States

    MINNEAPOLIS, MN 55454

    Phone: (612) 672-6000

    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: 2018-05-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180518000665IEmergency MedicineMNTBD

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
99285Emergency department visit with high level of medical decision making7272$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5652$0
99284Emergency department visit with moderate level of medical decision making5251$0
99283Emergency department visit with low level of medical decision making2523$0
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 52803)

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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: 8527977420View full group profile
NameSpecialtyState
Physician AssistantMN
Cardiovascular Disease (Cardiology)IL
U R O L O G YWI
-MN
Emergency MedicineMN
O P T O M E T R YMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Nurse PractitionerWI
Nurse PractitionerSD
Physician AssistantMN

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Frequently asked questions

What is the standard ID for BENJAMIN ARTHUR KOOIKER (DO) in the U.S.?
In the U.S., BENJAMIN ARTHUR KOOIKER (DO) is identified by NPI 1053548933.
Does the public listing show BENJAMIN ARTHUR KOOIKER (DO) as active?
BENJAMIN ARTHUR KOOIKER (DO)'s NPI record reflects an active status in NPPES.
What does the directory say BENJAMIN ARTHUR KOOIKER (DO) does?
Insurance directories may phrase it differently, but here BENJAMIN ARTHUR KOOIKER (DO) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to BENJAMIN ARTHUR KOOIKER (DO)?
BENJAMIN ARTHUR KOOIKER (DO) shows a connection to Davenport, Iowa in registry-derived data.
Can I export BENJAMIN ARTHUR KOOIKER (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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