Brian Koons , PA-C
Physician Assistant โข York, PA
1855 Powder Mill Rd
York, PA 17402
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on July 21, 2005; this date does not establish years in practice.
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Published CMS data list 362 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1100 โ Injection, dexamethasone sodium phosphate, 1 mg: 100 service units.
- 99214 โ Established patient outpatient office visit: 49 service units.
- 99213 โ Established patient outpatient office visit: 45 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 11 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 163 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Methylprednisolone โ 74 prescription fills, including refills.
- Prednisone โ 49 prescription fills, including refills.
- Meloxicam โ 20 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 65% of clinicians listed under Physician Assistant in York, PA (2024, 74 clinicians with data). Median for this group: 211. Middle half: 97 to 499.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: 174. Middle half: 68 to 404.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 87 in 2020 to 362 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1855 Powder Mill Rd
York, PA 17402
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Hanover, PA; Mechanicsburg, PA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Agape Physical Therapy And Sports Rehabilitation Lp; Oss Orthopaedic Hospital 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
1998
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
255 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $16,684 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 โ by Provider and Service, 2024.
Paid by Medicare
About $11,278 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 โ by Provider and Service, 2024.
30-day fills
163 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
$842 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
28 years (graduated 1998)
CMS Doctors and Clinicians data list 1998 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2005
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Brian Koons 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.
Can order Medicare-covered services
CMS lists Brian Koons 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in York and Pennsylvania
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 65% of clinicians listed under Physician Assistant in York, PA (2024, 74 clinicians with data). Median for this group: 211. Middle half: 97 to 499.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: 174. Middle half: 68 to 404.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in York, PA (2024, 74 clinicians with data). Median for this group: $17,310. Middle half: $9,139 to $31,547.
Close to the middle for clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: $13,809. Middle half: $5,386 to $28,936.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in York, PA (2024, 74 clinicians with data). Median for this group: $12,139. Middle half: $6,729 to $22,811.
Close to the middle for clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: $10,019. Middle half: $3,950 to $20,945.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in York, PA (2024, 74 clinicians with data). Median for this group: 227. Middle half: 64 to 610.
Close to the middle for clinicians listed under Physician Assistant in Pennsylvania (2024, 4,373 clinicians with data). Median for this group: 235. Middle half: 69 to 862.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in York, PA (2024, 74 clinicians with data). Median for this group: $3,061. Middle half: $397 to $102,494.
A lower Part D drug cost than 65% of clinicians listed under Physician Assistant in Pennsylvania (2024, 4,373 clinicians with data). Median for this group: $3,681. Middle half: $519 to $94,109.
118 active clinicians are listed under Physician Assistant with a practice address in York, PA (8,021 in Pennsylvania).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in York
7.6% of these 118 clinicians have the CMS telehealth indicator.
78% of these 118 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 316% from 87 in 2020 to 362 in 2024.
- 2020: 87
- 2021: 294
- 2022: 436
- 2023: 645
- 2024: 362
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Medicare-allowed amount
Medicare-allowed amount increased 329% from $3,887 in 2020 to $16,684 in 2024.
- 2020: $3,887
- 2021: $9,148
- 2022: $19,095
- 2023: $20,516
- 2024: $16,684
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Paid by Medicare
Paid by Medicare increased 316% from $2,709 in 2020 to $11,278 in 2024.
- 2020: $2,709
- 2021: $6,678
- 2022: $13,751
- 2023: $14,235
- 2024: $11,278
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 52% from 107 in 2020 to 163 in 2024.
- 2020: 107
- 2021: 118
- 2022: 131
- 2023: 121
- 2024: 163
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30-day fills
30-day fills increased 47% from 111 in 2020 to 163 in 2024.
- 2020: 111
- 2021: 121
- 2022: 131
- 2023: 121
- 2024: 163
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Part D drug cost
Part D drug cost went from $907 in 2020 to $842 in 2024.
- 2020: $907
- 2021: $750
- 2022: $1,099
- 2023: $869
- 2024: $842
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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 |
|---|---|---|---|---|
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J1100
Injection, dexamethasone sodium phosphate, 1 mg
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100 | 13 | $4.00 | $0.11 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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49 | 49 | $241.41 | $100.77 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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45 | 43 | $171.42 | $69.56 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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39 | 36 | $241.31 | $80.28 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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38 | 37 | $171.26 | $54.66 |
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20550
Injection into tendon or ligament
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22 | 19 | $129.36 | $31.53 |
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73110
X-ray of wrist, minimum of 3 views
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20 | 17 | $71.55 | $6.97 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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14 | 14 | $210.36 | $67.51 |
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20610
Aspiration and/or injection of fluid from large joint
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13 | 13 | $171.08 | $53.79 |
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72100
X-ray of lower and sacral spine, 2-3 views
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11 | 11 | $41.36 | $8.94 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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11 | 11 | $210.73 | $74.64 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Methylprednisolone | Methylprednisolone | 74 | 444 | $461.86 | 74 |
| Prednisone | Prednisone | 49 | 473 | $158.70 | 48 |
| Meloxicam | Meloxicam | 20 | 564 | $51.71 | 17 |
| Diclofenac Sodium | Diclofenac Sodium | 20 | 565 | $169.63 | 18 |
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: 2022-03-29NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AS0400X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20051123000395
PA
9234159013
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
Oss Orthopaedic Hospital Llc
1861 Powder Mill Rd, York, PA 174024723
Phone: 71784848006184
Oss Orthopaedic Hospital Llc
1926 Good Hope Rd, Enola, PA 170251217
Phone: 71784848006184
Oss Orthopaedic Hospital Llc
1665 Roosevelt Ave, York, PA 174088549
Phone: 7178484800
Agape Physical Therapy And Sports Rehabilitation Lp
12 Newport Dr, Forest Hill, MD 210501758
Oss Orthopaedic Hospital Llc
1855 Powder Mill Rd, York, PA 174024723
Phone: 7178484800
Secondary Practice Locations
470 Eisenhower Dr
Hanover, PA 173315248
Phone: 7176330031
856 Century Dr
Mechanicsburg, PA 170554505
Phone: 7177307099
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine - Sports Medicine
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: PA MA002769L)
Registered at 1855 POWDER MILL RD, YORK, PA 17402 (Tel: 7178484800)
Recorded as BRIAN KOONS, PA-C
NPI status registered as active in NPPES database
Registered at 1855 POWDER MILL RD, YORK, PA 174024723 (Tel: 7178484800)
Registered at 1861 POWDER MILL ROAD, ATTN MEDICAL STAFF OFFICE, YORK, PA 174024723 (Tel: 7177182000)
Recorded as BRIAN KOONS
Physician Assistant (license number reported to NPPES: PA MA002769L)
Registered at 1861 POWDER MILL ROAD, ATTN MEDICAL STAFF OFFICE, YORK, PA 174024723 (Tel: 7177182000)
NPI status registered as active in NPPES database
Registered at 1855 POWDER MILL RD, YORK, PA 174024723 (Tel: 7178484800)
Registered at 1855 POWDER MILL RD, YORK, YORK, PA 174024723 (Tel: 7178484800)
Recorded as BRIAN KOONS
Physician Assistant (license number reported to NPPES: PA MA002769L)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in York
- Ian Godfrey, PA-C
- Kendra Eveler, PA
- Joseph Jones, PA-C
- Amanda Haugh, PA-C
- Alyssa Hanna, PA-C
- Kayla Welsh, PA-C
More public profiles in Pennsylvania
Directory navigation, in NPI number order.
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- Tori Gollie, CRNP Nurse Practitioner - Family ยท Allentown
- Daniel Chung, MD Student in an Organized Health Care Education/Training Program ยท Meadville
- Chalairat Suk-Ouichai, MD, MPH Urology ยท Sayre
- Christopher Mccullough, MD Student in an Organized Health Care Education/Training Program ยท State College
- Angelica Hedglin, CRNP Nurse Practitioner ยท Kittanning
- Christopher Bedford Nurse Practitioner - Psychiatric/Mental Health ยท Pittsburgh
- Christopher Johnson, PT, DPT Physical Therapist ยท Mc Kees Rocks
- Abigail Rose Santos Physical Therapist ยท Mechanicsburg
- Sean Heintz, CRNP Nurse Practitioner - Family ยท Whitehall
- Melissa Alcorn-Ferry, LCSW Social Worker - Clinical ยท New Kensington
- Katie Kennedy, FNP Nurse Practitioner - Family ยท Annville
Mailing Address
1861 Powder Mill Road, Attn Medical Staff Office
York, PA 174024723
Phone: 7177182000