CHRISTOPHER M. KOENIG (DO) – Emergency Medicine Physician, NPI 1104205467

CHRISTOPHER M. KOENIG (DO) is a healthcare provider. based in Grand blanc, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101021598 (MI). The NPI Number for CHRISTOPHER M. KOENIG (DO) is 1104205467

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER M. KOENIG (DO)
NPI
1104205467
Phone
(810) 606-5980
Address
1 Genesys Pkwy
Enumeration Date
20 May 2015
Last Update Date
2 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6084176206
Graduation Year
2015 (11 years ago)
PAC ID
5092000265
Group Practice PAC ID
2567455264
Professional Enrollment ID
I20190725000156
Address ID
WI537151507MA202XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

Provider Addresses for CHRISTOPHER M. KOENIG (DO)

  • 1 Genesys Pkwy

    Grand Blanc, MI 484398065

    Phone: (810) 606-5980

    Type: Location

  • N2950 State Road 67

    Lake Geneva, WI 531472655

    Phone: (262) 245-0535

    Type: Location

  • 1000 MINERAL POINT AVE

    JANESVILLE, WI 535482940

    Phone: (608) 756-6611

    Fax: (608) 756-6177

    Type: Mailing

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: 2025-01-16

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
I20190725000156IEmergency MedicineWITBD
I20250116003587IEmergency MedicineILTBD

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
99284Emergency department visit with moderate level of medical decision making114111$0
99283Emergency department visit with low level of medical decision making10999$0
99285Emergency department visit with high level of medical decision making8481$0
99291Critical care, first 30-74 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 48439)

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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: 2567455264View full group profile
NameSpecialtyState
Emergency MedicineIL
Emergency MedicineWI
Emergency MedicineWI
Emergency MedicineWI
Emergency Medicine, Internal MedicinePA
-WI
Emergency MedicineAR
Emergency MedicineWI
-WI
Emergency MedicineWI

Reviews

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Frequently asked questions

What unique ID ties claims to CHRISTOPHER M. KOENIG (DO)?
NPI 1104205467 is assigned to CHRISTOPHER M. KOENIG (DO) under the national enumeration system.
Does this profile mean CHRISTOPHER M. KOENIG (DO) is currently active?
Yes — CHRISTOPHER M. KOENIG (DO) appears active in the national provider directory.
What field does CHRISTOPHER M. KOENIG (DO) work in?
You can think of CHRISTOPHER M. KOENIG (DO) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place CHRISTOPHER M. KOENIG (DO)?
The snapshot lists Grand Blanc, Michigan for CHRISTOPHER M. KOENIG (DO); download NPPES for the complete set.
What if Grand Blanc, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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