WILLIAM K. KORN (MD) – Emergency Medicine Physician, NPI 1609807882

WILLIAM K. KORN (MD) is a healthcare provider. based in Columbia, Missouri. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 2023024383 (MO). The NPI Number for WILLIAM K. KORN (MD) is 1609807882

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM K. KORN (MD)
NPI
1609807882
Phone
(573) 882-1662
Address
3916 S Providence Rd Ste 101
Enumeration Date
5 July 2006
Last Update Date
22 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
4234952525
Graduation Year
1998 (28 years ago)
PAC ID
9739117011
Group Practice PAC ID
0042304032
Professional Enrollment ID
I20050728000404

Contacts

Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

Provider Addresses for WILLIAM K. KORN (MD)

  • 3916 S Providence Rd Ste 101

    Columbia, MO 652037152

    Phone: (573) 882-1662

    Fax: (573) 882-4096

    Type: Location

  • 725, Glenwood Drive, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States

    SUITE E-487

    CHATTANOOGA, TN 37404

    Phone: (423) 697-0014

    Fax: (423) 648-6280

    Type: Mailing

  • CHI Memorial Hospital, 2525, Desales Avenue, Glenwood, Ridgeside, Chattanooga, Hamilton County, Tennessee, 37404, United States

    CHATTANOOGA, TN 37404

    Phone: (423) 697-0014

    Fax: (423) 648-6280

    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: 2023-08-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050728000404IFamily PracticeTNTBD
I20210322002275IFamily PracticeGATBD
I20230825001179IEmergency MedicineMOTBD

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 making180179$0
99284Emergency department visit with moderate level of medical decision making8584$0
99291Critical care, first 30-74 minutes8281$0
View full utilization report →

Insurance plans in this area (ZIP 65203)

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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: 0042304032View full group profile
NameSpecialtyState
Emergency MedicineTN
Emergency MedicineTN
-TN
Emergency MedicineTN
Emergency MedicineTN
Nurse PractitionerTN
Emergency MedicineTN
Emergency MedicineTN
Emergency MedicineTN
Emergency MedicineVA

Reviews

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Frequently asked questions

What is the registry number for WILLIAM K. KORN (MD)?
The registry entry for WILLIAM K. KORN (MD) shows NPI 1609807882.
Quick check: is WILLIAM K. KORN (MD) active?
Public NPPES data shows WILLIAM K. KORN (MD) with an active NPI status right now.
Which specialty label fits WILLIAM K. KORN (MD)?
NPPES ties WILLIAM K. KORN (MD) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to WILLIAM K. KORN (MD)?
WILLIAM K. KORN (MD) shows a connection to Columbia, Missouri in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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