Doctor profile · Federal record
Dr. Kordell Koepnick, PA
Physician Assistant · Physician Assistant · Physician Assistant · Boise, ID
- NPI 1770289621
- Accepts Medicare
- 4 yrs in practice
- Licensed in 3 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
500 S 8Th St
Boise, ID 837027107
(855) 255-1750
fax (855) 255-0905 - Additional location
-
5200 Meadows RD Ste 200
Lake Oswego, OR 970350086 - Additional location
-
413 29Th St Ne Ste I
Puyallup, WA 983727154 - Mailing address
-
11504 Paintbrush Ln
Pocatello, ID 832025077
Credentials & registration
- NPI registered
- February 2023 — 3 yrs on file
- Profile last updated
- September 27, 2024
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (3)
- Idaho #PA-2450 · Washington #PA6140460 · Oregon #PA219548
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770289621. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
153
Distinct HCPCS
2
Medicare allowed
$11,902
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99308 |
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 86 | 23 | $60 | |
11042 |
Removal of skin and tissue, 20.0 sq cm or less | 67 | 14 | $101 |
In context: peer comparison
Among 112 peers in this city , average services per provider: 73. This provider delivers 2.1× the peer median.Frequently asked questions
What is Dr. Kordell Koepnick's medical specialty?
Dr. Kordell Koepnick practices Physician Assistant in Boise, ID.
Where does Dr. Kordell Koepnick practice?
Dr. Kordell Koepnick practices at 500 S 8Th St, Boise, ID 837027107. Office phone: 8552551750.
What is Dr. Kordell Koepnick's NPI?
Dr. Kordell Koepnick's National Provider Identifier (NPI) is 1770289621, issued by NPPES.
Does Dr. Kordell Koepnick accept Medicare assignment?
Yes. Dr. Kordell Koepnick accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kordell Koepnick commonly perform?
Top Medicare-reported procedures in 2023: Subsequent nursing facility care with straightforward level of medical decision making (HCPCS 99308); Removal of skin and tissue, 20.0 sq cm or less (HCPCS 11042). Source: CMS Medicare Physician & Other Practitioners file.