DR. KATHLEEN MARY KOERNER (D.O.) – Surgery Physician, NPI 1093936171

DR. KATHLEEN MARY KOERNER (D.O.) is a healthcare provider. based in Gonzales, Texas. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101015812 (MI). The NPI Number for DR. KATHLEEN MARY KOERNER (D.O.) is 1093936171

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHLEEN MARY KOERNER (D.O.)
NPI
1093936171
Phone
(830) 672-8502
Address
1110 N SARAH DEWITT DR
Enumeration Date
2 May 2007
Last Update Date
12 September 2011

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
8306727581
Graduation Year
2003 (23 years ago)
PAC ID
8729149844
Group Practice PAC ID
8527963776
Professional Enrollment ID
I20120118000836
Address ID
TX786293311GO1110XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,644 GENERAL SURGERY in TX

Provider Addresses for DR. KATHLEEN MARY KOERNER (D.O.)

  • 1110 N SARAH DEWITT DR

    GONZALES, TX 786293311

    Phone: (830) 672-8502

    Fax: (830) 672-3035

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $296.

Total Amount is formed as General ($296) + Research ($0) + Ownership ($0) = $296.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: ABBVIE INC. ($134).

Total Amount

$296

General + Research + Ownership

Payments

13

Total payment records

General Amount

$296

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2012-01-18

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
I20120118000836IGeneral SurgeryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes14738$0
View full utilization report →

Insurance plans in this area (ZIP 78629)

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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: 8527963776View full group profile
NameSpecialtyState
Family PracticeID
Physician AssistantTX
Diagnostic RadiologyVA
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Orthopedic SurgeryTX
-TX
Family PracticeTX

Reviews

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Frequently asked questions

How do payers reference DR. KATHLEEN MARY KOERNER (D.O.)?
For DR. KATHLEEN MARY KOERNER (D.O.), use NPI 1093936171 as the unique 10-digit identifier.
Is there an active status for DR. KATHLEEN MARY KOERNER (D.O.)?
For scheduling context, DR. KATHLEEN MARY KOERNER (D.O.) is shown as active in the registry.
What area of care is associated with DR. KATHLEEN MARY KOERNER (D.O.)?
DR. KATHLEEN MARY KOERNER (D.O.)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. KATHLEEN MARY KOERNER (D.O.) located near Gonzales?
DR. KATHLEEN MARY KOERNER (D.O.) currently maps to Gonzales, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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