GREGORY T KOO (MD) – General Practice Physician, NPI 1205895943

GREGORY T KOO (MD) is a healthcare provider. based in Lexington, Kentucky. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. 33614 (KY). The NPI Number for GREGORY T KOO (MD) is 1205895943

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY T KOO (MD)
NPI
1205895943
Phone
(859) 288-2425
Address
576 E Third St Ste 170
Enumeration Date
21 March 2006
Last Update Date
15 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8592882425
Graduation Year
1996 (30 years ago)
PAC ID
0547238107
Group Practice PAC ID
5890961593
Professional Enrollment ID
I20040921000945
Address ID
KY405031827LE496XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

77 GENERAL PRACTICE in KY

Provider Addresses for GREGORY T KOO (MD)

  • 576 E Third St Ste 170

    Lexington, KY 405082251

    Phone: (859) 288-2425

    Fax: (859) 288-7510

    Type: Location

  • PO BOX 39597

    BELFAST, ME 049151249

    Phone: (859) 288-2425

    Fax: (859) 288-7510

    Type: Mailing

  • Sunset Drive, Caneyville, Grayson County, Kentucky, 42721, United States

    CANEYVILLE, KY 427219172

    Phone: (270) 879-3711

    Fax: (270) 879-8674

    Type: Location

  • 908, Wallace Avenue, Leitchfield, Grayson County, Kentucky, 42754, United States

    LEITCHFIELD, KY 427541479

    Phone: (270) 259-9580

    Fax: (270) 259-9582

    Type: Mailing

  • 1401 HARRODSBURG RD STE B165

    LEXINGTON, KY 405041726

    Phone: (859) 288-2425

    Fax: (859) 288-7510

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $420.

Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Lilly USA, LLC ($89).

Total Amount

$420

General + Research + Ownership

Payments

25

Total payment records

General Amount

$420

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

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: 2004-09-21

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
I20040921000945IGeneral PracticeKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40508)

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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: 5890961593View full group profile
NameSpecialtyState
Clinical Social WorkerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
Nurse PractitionerKY
-KY
Physician AssistantKY
Physician AssistantKY
Nurse PractitionerKY
Clinical Social WorkerKY
P S Y C H I A T R YKY
Nurse PractitionerME

Reviews

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Frequently asked questions

Does GREGORY T KOO (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GREGORY T KOO (MD) uses 1205895943.
Does CMS list GREGORY T KOO (MD) as active?
Yes — GREGORY T KOO (MD) is active in the NPI listing used on this page.
What is GREGORY T KOO (MD)'s specialty?
The listing groups GREGORY T KOO (MD) with General Practice Physician. Clinical services aligned with this taxonomy classification.
Where is GREGORY T KOO (MD) based?
GREGORY T KOO (MD) is tied to Lexington, Kentucky in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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