Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Cassidy J Koonce , MD

Surgery • Athens, AL

Active NPI 1376854976 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

707 W Market St Ste C
Athens, AL 356112463

Call 2562166500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

707 W Market St Ste C

Athens, AL 356112463

Telephone 2562166500
Fax 2562168777
Organization at the Same NPPES Address or Phone
Seth D Rayburn Md Pc Facility NPI 1811048879

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: North Alabama Vascular And Dialysis Access Care Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2010

Medicare patients

309 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $167,232 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $131,019 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

1,719 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$38,394 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $670.00 across 23 records.

By nature of payment

  • Food and Beverage: $670.00 across 23 records.

Reporting-company totals (3 largest of 12)

  • Smith+Nephew, Inc.: $188.32 across 5 records.
  • Abbott Laboratories: $90.38 across 2 records.
  • Kerecis Limited: $69.85 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

16 years (graduated 2010)

CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Koonce has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Koonce as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Athens and Alabama

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Surgery in Alabama (2024, 262 clinicians with data). Median for this group: 241. Middle half: 114 to 402.

Too few clinicians listed under Surgery in Athens have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Surgery in Alabama (2024, 262 clinicians with data). Median for this group: $27,730. Middle half: $12,581 to $48,415.

Too few clinicians listed under Surgery in Athens have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Surgery in Alabama (2024, 262 clinicians with data). Median for this group: $21,212. Middle half: $9,421 to $37,171.

Too few clinicians listed under Surgery in Athens have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 95% of clinicians listed under Surgery in Alabama (2024, 274 clinicians with data). Median for this group: 116. Middle half: 53 to 255.

Too few clinicians listed under Surgery in Athens have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 85% of clinicians listed under Surgery in Alabama (2024, 274 clinicians with data). Median for this group: $1,026. Middle half: $329 to $4,875.

Too few clinicians listed under Surgery in Athens have Medicare Part D data for 2024 to compare.

6 active clinicians are listed under Surgery with a practice address in Athens, AL (445 in Alabama).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 23 records totaling $670.00.

Manufacturer Payment Nature Product Type Amount ($)
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
RENASYS GO v2 HOME General $133.14
Abbott Laboratories
Food and Beverage
In-kind items and services
ESPRIT General $55.35
Globus Medical, Inc.
Food and Beverage
Cash or cash equivalent
EXCELSIUS GPS General $47.78
Abbott Laboratories
Food and Beverage
In-kind items and services
ESPRIT General $35.03
PolyNovo North America LLC
Food and Beverage
In-kind items and services
NOVOSORB BTM General $30.31
Solventum Corporation
Food and Beverage
Cash or cash equivalent
ACTIV.A.C. General $27.43
Aroa Biosurgery Incorporated
Food and Beverage
Cash or cash equivalent
— General $26.89
Reflow Medical Inc
Food and Beverage
Cash or cash equivalent
— General $26.86
Merit Medical Systems Inc
Food and Beverage
Cash or cash equivalent
Savi SCOUT General $25.00
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
KEYTRUDA General $23.97
Kerecis Limited
Food and Beverage
Cash or cash equivalent
Kerecis SurgiClose General $23.54
Kerecis Limited
Food and Beverage
Cash or cash equivalent
Kerecis SurgiClose General $23.51
Kerecis Limited
Food and Beverage
Cash or cash equivalent
Kerecis SurgiClose General $22.80
Ethicon Inc.
Food and Beverage
In-kind items and services
VISTASEAL General $22.30
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
KEYTRUDA General $22.20
Reflow Medical Inc
Food and Beverage
Cash or cash equivalent
— General $19.91
Reflow Medical Inc
Food and Beverage
Cash or cash equivalent
— General $19.83
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX General $19.31
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX General $15.12
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
KEYTRUDA General $15.08
LeMaitre Vascular, Inc.
Food and Beverage
Cash or cash equivalent
ARTEGRAFT VASCULAR GRAFT General $13.89
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX General $11.23
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
GRAFIX General $9.52

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
112 112 $293.38 $150.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
97 82 $188.30 $116.18
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
86 72 $123.13 $82.56
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes
69 21 $29.00 $9.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
33 33 $250.00 $161.51
76937 Ultrasonic guidance for blood vessel access
32 26 $100.00 $33.54
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
29 26 $131.00 $43.65
36830 Creation of artery-vein connection using tube graft for hemodialysis
24 24 $1624.79 $591.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
22 22 $420.00 $78.87
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel
19 15 $2387.00 $796.40
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist
15 12 $299.80 $180.09
75710 Review by radiologist of arm or leg artery image
14 13 $396.00 $132.73
37225 Removal of plaque in arteries of leg
13 11 $21966.00 $5353.88
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
13 13 $807.00 $218.31
36818 Relocation of major upper arm vein with connection to arm artery for hemodialysis
12 12 $1346.15 $571.46
36820 Relocation of forearm vein with connection to arm artery for hemodialysis
12 12 $1517.50 $574.78
45378 Diagnostic exam of large bowel using a flexible endoscope
11 11 $600.00 $168.55

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Omeprazole Omeprazole 193 10,590 $1,880.41 52
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 192 573 $706.45 159
Famotidine Famotidine 170 8,580 $1,262.21 40
Sucralfate Sucralfate 154 6,528 $4,156.65 51
Pantoprazole Sodium Pantoprazole Sodium 130 6,820 $1,172.58 40
Esomeprazole Magnesium Esomeprazole Magnesium 63 2,506 $1,677.60 12
Linzess Linaclotide 49 1,455 $25,193.14 —
Dicyclomine Hcl Dicyclomine Hcl 44 1,340 $387.20 13
Clopidogrel Clopidogrel Bisulfate 43 2,970 $642.51 23
Ondansetron Odt Ondansetron 30 290 $347.24 20
Metoclopramide Hcl Metoclopramide Hcl 22 1,140 $42.38 —
Diphenoxylate-Atropine Diphenoxylate Hcl/Atropine 20 640 $390.14 —
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 16 146 $66.59 13
Doxycycline Hyclate Doxycycline Hyclate 13 141 $157.12 12
Levofloxacin Levofloxacin 12 90 $35.32 —
Metronidazole Metronidazole 12 91 $110.07 12
Rabeprazole Sodium Rabeprazole Sodium 12 600 $166.39 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-21
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES AL MD.31380

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Group Npi
1659751915 (AL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20121012000213

Enrollment State Jurisdiction

AL

PECOS Control ID

6608025325

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

North Alabama Vascular And Dialysis Access Care Llc

1311 Memorial Pkwy Nw, Huntsville, AL 358015944

Phone: 2565355008

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1093706210

Doctor of Medicine (M.D.)

NPI 1720079940

Doctor of Medicine (M.D.)

NPI 1831118041

Doctor of Medicine (M.D.)

NPI 1477181931

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location March 21, 2025

Registered at 707 W MARKET ST STE C, ATHENS, AL 356112463 (Tel: 2562166500)

📍
Updated Business Mailing Address March 21, 2025

Registered at PO BOX 630, ATHENS, AL 356120630 (Tel: 2562166500)

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NPI Profile Active June 02, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) June 02, 2015

Registered at 2451 FILLINGIM ST, MOBILE, AL 366172238 (Tel: 2514717000)

📍
Business Mailing Address (Initial Record) June 02, 2015

Registered at 6517B CEDAR BEND CT, MOBILE, AL 366085333 (Tel: 2567628485)

👤
Provider Name / Credentials (Initial Record) June 02, 2015

Recorded as CASSIDY KOONCE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2015

Surgery (license number reported to NPPES: AL MD.31380)

🟢
Initial NPI Registration & Enumeration June 29, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376854976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2010
Last Update: March 21, 2025
Sole Proprietor: No

Other Surgery Specialists in Athens

Healthcare providers in Athens

Mailing Address

Po Box 630

Athens, AL 356120630

Phone: 2562166500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.