Doctor profile · Federal record
Dr. Koley Pack
Family Medicine Physician (CMS: Family Practice) · Amarillo, TX
- NPI 1255994836
- Accepts Medicare
- 7 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
2001 S Coulter St
Amarillo, TX 791062521
(806) 318-5777
fax (806) 513-6926
Credentials & registration
- NPI registered
- April 2019 — 7 yrs on file
- Profile last updated
- September 8, 2022
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Texas #T8007
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255994836. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
180
Distinct HCPCS
4
Medicare allowed
$13,889
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 76 | 47 | $82 | |
36415 |
Insertion of needle into vein for collection of blood sample | 46 | 26 | $8 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 42 | 22 | $116 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $152 |
In context: peer comparison
Among 47 peers in this city , average services per provider: 143. This provider delivers 1.3× the peer median.Open Payments
Industry payments received
All-time total
$63
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| AstraZeneca Pharmaceuticals LP | 2 | $28.99 | |
| Dexcom, Inc. | 1 | $18.46 | |
| PFIZER INC. | 1 | $15.51 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
382
Patients
44
Total drug cost
$89,057
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trulicity (Dulaglutide) | Brand | 49 | 0 | $59,345 |
| Atorvastatin Calcium | Generic | 39 | 15 | $477 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 37 | 16 | $722 |
| Jardiance (Empagliflozin) | Brand | 32 | 0 | $25,529 |
| Levothyroxine Sodium | Generic | 26 | 0 | $329 |
| Amlodipine Besylate | Generic | 24 | 0 | $225 |
| Lisinopril | Generic | 23 | 0 | $177 |
| Metformin Hcl | Generic | 23 | 0 | $202 |
| Gabapentin | Generic | 22 | 13 | $470 |
| Furosemide | Generic | 21 | 0 | $196 |
Frequently asked questions
What is Dr. Koley Pack's medical specialty?
Dr. Koley Pack practices Family Medicine Physician in Amarillo, TX.
Where does Dr. Koley Pack practice?
Dr. Koley Pack practices at 2001 S Coulter St, Amarillo, TX 791062521. Office phone: 8063185777.
What is Dr. Koley Pack's NPI?
Dr. Koley Pack's National Provider Identifier (NPI) is 1255994836, issued by NPPES.
Does Dr. Koley Pack accept Medicare assignment?
Yes. Dr. Koley Pack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Koley Pack commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.