DR. MARC G. SR. KOENIG (MD) – Diagnostic Radiology Physician, NPI 1164460358
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,650 DIAGNOSTIC RADIOLOGY in MI
Provider Addresses for DR. MARC G. SR. KOENIG (MD)
3220 Discovery Dr Ste 100
Lansing, MI 489108609
Phone: (517) 975-8930
Fax: (517) 337-4985
Type: Location
4660 S Hagadorn Rd Ste 510
East Lansing, MI 488236805
Phone: (517) 353-5053
Fax: (517) 884-7640
Type: Location
203 S Western Ave
Tonasket, WA 988558803
Phone: (509) 486-2151
Fax: (509) 223-1640
Type: Location
4660 S Hagadorn Rd Ste 410
East Lansing, MI 488236819
Phone: (517) 353-5053
Fax: (517) 884-7640
Type: Location
19020 33RD AVE W STE 210
LYNNWOOD, WA 980364748
Phone: (425) 563-1500
Fax: (425) 563-1374
Type: Mailing
19020, 33rd Avenue West, Lynnwood, Snohomish County, Washington, 98036, United States
SUITE 210
LYNNWOOD, WA 980364746
Phone: (425) 563-1500
Fax: (425) 563-1374
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: 2025-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070619000195 | I | Diagnostic Radiology | NE | TBD |
| I20130218000096 | I | Diagnostic Radiology | WA | TBD |
| I20241004002171 | I | Diagnostic Radiology | CA | TBD |
| I20250310000813 | I | Diagnostic Radiology | MI | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,812 | 1,576 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 515 | 512 | $0 |
| 70450 | Ct scan head or brain without contrast | 397 | 388 | $0 |
| 71046 | X-ray of chest, 2 views | 317 | 315 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 271 | 270 | $0 |
Insurance plans in this area (ZIP 48910)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 20610 | Aspiration and/or injection of large joint or joint capsule | 22 | 19 |
| DIAGNOSTIC RADIOLOGY | WA | 71010 | X-ray of chest, 1 view, front | 826 | 725 |
| DIAGNOSTIC RADIOLOGY | WA | 73562 | X-ray of knee, 3 views | 15 | 15 |
| DIAGNOSTIC RADIOLOGY | WA | 74177 | CT scan of abdomen and pelvis with contrast | 225 | 208 |
| DIAGNOSTIC RADIOLOGY | WA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Interventional Radiology, Diagnostic Radiology | OK | |
| General Practice, Diagnostic Radiology, Interventional Radiology | WA | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | OR | |
| Diagnostic Radiology | MD | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | NC |
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