BRIANNA MICHELLE KOYM (PA) – Physician Assistant, NPI 1912640095

BRIANNA MICHELLE KOYM (PA) is a healthcare provider. based in La porte, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA15705 (TX). The NPI Number for BRIANNA MICHELLE KOYM (PA) is 1912640095

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
BRIANNA MICHELLE KOYM (PA)
NPI
1912640095
Phone
Not provided
Address
8722 FAIRBROOK LN
Enumeration Date
18 April 2022
Last Update Date
24 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814807546
Graduation Year
2022 (4 years ago)
PAC ID
5395126304
Group Practice PAC ID
0042464125
Professional Enrollment ID
I20220722000799
Address ID
TX770582743HO17300REAL401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for BRIANNA MICHELLE KOYM (PA)

  • 8722 FAIRBROOK LN

    LA PORTE, TX 775717604

    Phone:

    Type: Mailing

  • 5040 ADDISON CIR FL 4

    ADDISON, TX 750013333

    Phone: (855) 898-2655

    Type: Location

  • 8525 9TH AVE

    PORT ARTHUR, TX 776428023

    Phone: (409) 729-2262

    Fax: (409) 729-2449

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $472.

Total Amount is formed as General ($472) + Research ($0) + Ownership ($0) = $472.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: GENZYME CORPORATION ($145).

Total Amount

$472

General + Research + Ownership

Payments

14

Total payment records

General Amount

$472

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2022-07-22

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
I20220722000799IPhysician AssistantTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77571)

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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: 0042464125View full group profile
NameSpecialtyState
D E R M A T O L O G YKY
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRIANNA MICHELLE KOYM (PA)?
BRIANNA MICHELLE KOYM (PA) — NPI 1912640095 — is the standard way to identify this listing.
Does CMS list BRIANNA MICHELLE KOYM (PA) as active?
Yes — BRIANNA MICHELLE KOYM (PA) is active in the NPI listing used on this page.
What is BRIANNA MICHELLE KOYM (PA) best known for clinically?
Directory data describes BRIANNA MICHELLE KOYM (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does BRIANNA MICHELLE KOYM (PA) serve?
BRIANNA MICHELLE KOYM (PA)'s listing highlights La Porte, Texas; more addresses can appear in NPPES.
Is the information about BRIANNA MICHELLE KOYM (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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