LAURA LYNN KOON (PAC) – Medical Physician Assistant, NPI 1386970747

LAURA LYNN KOON (PAC) is a healthcare provider. based in Midlothian, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. 0110-003378 (VA). The NPI Number for LAURA LYNN KOON (PAC) is 1386970747

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LAURA LYNN KOON (PAC)
NPI
1386970747
Phone
(804) 613-8309
Address
3730 RIVERMIST TER
Enumeration Date
20 October 2009
Last Update Date
4 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8043304901
Graduation Year
2009 (17 years ago)
PAC ID
3779610233
Group Practice PAC ID
8426950692
Professional Enrollment ID
I20110114000637
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for LAURA LYNN KOON (PAC)

  • 3730 RIVERMIST TER

    MIDLOTHIAN, VA 231133740

    Phone: (804) 613-8309

    Type: Mailing

  • 8266 ATLEE RD STE 224

    MECHANICSVILLE, VA 231161813

    Phone: (804) 454-7240

    Type: Location

  • 107, Wadsworth Drive, Penn Acres, Chesterfield County, Virginia, 23235, United States

    NORTH CHESTERFIELD, VA 232364521

    Phone: (804) 330-4901

    Fax: (804) 330-9145

    Type: Mailing

  • 1630 WILKES RIDGE PKWY STE 202

    RICHMOND, VA 232337460

    Phone: (804) 330-7840

    Fax: (804) 330-4208

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Fidia Pharma USA Inc. ($21).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

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: 2011-01-14

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
I20110114000637IPhysician AssistantVATBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3,407194$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3,359193$0
99212Established patient office or other outpatient visit, 10-19 minutes2,663168$0
97750Test or measurement for functional capacity, each 15 minutes2,651179$0
97016Application of blood vessel compression device1,528128$0
View full utilization report →

Insurance plans in this area (ZIP 23113)

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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: 8426950692View full group profile
NameSpecialtyState
Physician AssistantVA
G A S T R O E N T E R O L O G YVA
Physician AssistantTN
P A T H O L O G YVA
G A S T R O E N T E R O L O G YVA
Nurse PractitionerVA
Gastroenterology, Internal MedicineVA
G A S T R O E N T E R O L O G YVA
Physician AssistantVA
G A S T R O E N T E R O L O G YVA

Reviews

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Frequently asked questions

What is the 10-digit NPI for LAURA LYNN KOON (PAC)?
LAURA LYNN KOON (PAC) — NPI 1386970747 — is the standard way to identify this listing.
Is LAURA LYNN KOON (PAC) listed as active for patients and plans?
The listing shows LAURA LYNN KOON (PAC) as active in the NPI system.
What healthcare role does LAURA LYNN KOON (PAC) hold?
Scheduling teams often label LAURA LYNN KOON (PAC) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is LAURA LYNN KOON (PAC) based?
LAURA LYNN KOON (PAC) is tied to Midlothian, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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