AMANDA ELLEN KOONCE (MD) – Anesthesiology Physician, NPI 1023506219
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
867 ANESTHESIOLOGY in OR
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Provider Addresses for AMANDA ELLEN KOONCE (MD)
PO BOX 7247
SPRINGFIELD, OR 974750011
Phone: (541) 681-5124
Type: Mailing
Kaiser Permanente, 4855, Southwest Western Avenue, Denny-Whitford-Raleigh West, Raleigh West, Beaverton, Metro, Washington County, Oregon, 97005, United States
BEAVERTON, OR 970053460
Phone: (406) 600-2847
Type: Mailing
3333 RIVERBEND DR
SPRINGFIELD, OR 974778800
Phone: (541) 681-5124
Type: Location
6855 N BURLINGTON AVE APT 418
PORTLAND, OR 972034983
Phone: (406) 600-2847
Type: Mailing
601 ELMWOOD AVE
ROCHESTER, NY 146423460
Phone: (585) 275-1384
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Saluda Medical Americas, Inc. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Saluda Medical Americas, Inc. | $13 |
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: 2025-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250928000163 | I | Anesthesiology | OR | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97475)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | OR | |
| - | OR | |
| A N E S T H E S I O L O G Y | IL | |
| A N E S T H E S I O L O G Y | OR | |
| - | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR | |
| A N E S T H E S I O L O G Y | OR |
Reviews
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