Active NPI 1609983345 Individual Practitioner Male Practitioner

Dr. James E Koon , DPM

Podiatrist • Winter Haven, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Koon, DPM is a certified Podiatrist practicing in Winter Haven, FL. With approximately 30 years of clinical experience since graduating from William M. Scholl College Of Podiatric Medicine in 1996, Dr. Koon delivers high-quality medical care to the local community at 635 1ST ST N.

Dr. Koon is affiliated with Baycare Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of fingernails or toenails, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

635 1st St N

Winter Haven, FL 338814129

Telephone 8632940670

Fax 8632983200

Associated Practice Facility / Clinic

🏢 Gessler Clinic Professional Association Facility NPI 1154399533

Medicare Profile & Education

Medical School

William M. Scholl College Of Podiatric Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Winter Haven, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +3.7 yrs vs City Avg

City Avg: 26.3 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

7 Specialists

Practicing in Winter Haven, FL (818 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koon (30 Years) 30 Yrs

Winter Haven Specialty Average (26.3 Years) 26.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	568	298	$221.00	$87.57
11721 Removal of fingernails or toenails, 6 or more nails	250	129	$108.00	$42.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	175	117	$162.00	$53.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	159	159	$273.00	$108.93
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$175.00	$69.74
11055 Removal of single thickened skin growth	54	35	$175.00	$67.04
11042 Removal of skin and tissue, 20.0 sq cm or less	46	21	$311.00	$124.12
11056 Removal of noncancer thickened skin growth, 2-4 growths	40	28	$201.00	$76.79
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	28	22	$16.00	$6.76
20550 Injection into tendon or ligament	15	12	$142.00	$53.16
11750 Permanent removal fingernail or toenail	12	11	$386.00	$154.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	503	301	$174.96	$89.22
11721 Removal of fingernails or toenails, 6 or more nails	282	122	$80.79	$43.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	174	111	$109.21	$55.84
73630 X-ray of foot, minimum of 3 views	167	120	$54.55	$32.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	166	166	$216.57	$112.00
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$138.97	$71.59
11055 Removal of single thickened skin growth	49	34	$130.00	$69.70
11056 Removal of noncancer thickened skin growth, 2-4 growths	43	22	$151.05	$80.17
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	38	36	$9.37	$6.60
20550 Injection into tendon or ligament	32	30	$173.00	$58.22
87220 Tissue fungi or parasites	31	30	$18.00	$4.18
11042 Removal of skin and tissue, 20.0 sq cm or less	30	19	$310.00	$126.74
97597 Removal of tissue from wound, 20.0 sq cm or less	21	13	$190.00	$98.22
11750 Permanent removal fingernail or toenail	17	16	$350.00	$156.80
36415 Insertion of needle into vein for collection of blood sample	12	11	$10.00	$8.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	427	272	$172.00	$90.84
11721 Removal of fingernails or toenails, 6 or more nails	282	140	$80.00	$44.20
73630 X-ray of foot, minimum of 3 views	234	166	$55.00	$34.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	187	187	$214.00	$113.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	184	129	$107.00	$56.55
99202 New patient office or other outpatient visit, typically 20 minutes	138	138	$138.00	$73.28
11055 Removal of single thickened skin growth	64	42	$130.00	$71.37
11056 Removal of noncancer thickened skin growth, 2-4 growths	56	28	$150.00	$82.27
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	37	30	$9.00	$6.68
97597 Removal of tissue from wound, 20.0 sq cm or less	35	16	$190.00	$101.50
87220 Tissue fungi or parasites	33	33	$18.00	$4.21
11042 Removal of skin and tissue, 20.0 sq cm or less	31	19	$310.00	$130.82
11720 Removal of fingernails or toenails, 1-5 nails	25	19	$62.00	$32.68
11750 Permanent removal fingernail or toenail	22	20	$350.00	$160.37
20550 Injection into tendon or ligament	22	19	$175.00	$58.90
36415 Insertion of needle into vein for collection of blood sample	18	15	$10.00	$2.95
87070 Bacterial culture	12	11	$25.00	$8.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	435	274	$100.00	$91.41
11721 Removal of fingernails or toenails, 6 or more nails	296	158	$80.00	$44.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	258	173	$75.00	$56.29
73630 X-ray of foot, minimum of 3 views	197	143	$55.00	$33.67
99202 New patient office or other outpatient visit, typically 20 minutes	172	172	$120.00	$73.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$175.00	$113.46
97597 Removal of tissue from wound, 20.0 sq cm or less	90	28	$165.44	$98.87
11055 Removal of single thickened skin growth	60	41	$112.30	$69.37
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	53	41	$9.00	$6.93
11056 Removal of noncancer thickened skin growth, 2-4 growths	53	36	$117.74	$72.84
20550 Injection into tendon or ligament	41	30	$175.00	$57.50
11720 Removal of fingernails or toenails, 1-5 nails	19	16	$50.00	$33.53
87220 Tissue fungi or parasites	19	19	$18.00	$4.27
87070 Bacterial culture	17	13	$25.00	$8.62
11750 Permanent removal fingernail or toenail	17	16	$350.00	$163.51
73600 X-ray of ankle, 2 views	15	12	$47.50	$32.15
29540 Placement of strapping to ankle or foot	11	11	$51.00	$28.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	480	305	$100.00	$74.24
11721 Removal of fingernails or toenails, 6 or more nails	331	175	$80.00	$46.26
99202 New patient office or other outpatient visit, typically 20 minutes	220	220	$120.00	$76.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	202	133	$75.00	$45.70
73630 X-ray of foot, minimum of 3 views	176	126	$55.00	$32.27
97597 Removal of tissue from wound, 20.0 sq cm or less	103	29	$105.00	$96.23
11055 Removal of single thickened skin growth	64	42	$71.00	$61.65
11056 Removal of noncancer thickened skin growth, 2-4 growths	63	39	$60.00	$60.45
11720 Removal of fingernails or toenails, 1-5 nails	48	37	$50.00	$33.13
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	42	37	$9.00	$7.00
20550 Injection into tendon or ligament	36	32	$175.00	$56.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$175.00	$109.07
87220 Tissue fungi or parasites	31	31	$18.00	$4.25
99201 New patient office or other outpatient visit, typically 10 minutes	30	30	$75.00	$46.06
73620 X-ray of foot, 2 views	20	17	$41.52	$26.53
11750 Permanent removal fingernail or toenail	20	18	$350.00	$154.27
36415 Insertion of needle into vein for collection of blood sample	19	15	$10.00	$2.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	482	316	$100.00	$70.33
11721 Removal of fingernails or toenails, 6 or more nails	353	181	$80.00	$45.69
99202 New patient office or other outpatient visit, typically 20 minutes	241	241	$120.00	$75.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	184	124	$75.00	$43.36
73630 X-ray of foot, minimum of 3 views	132	101	$54.71	$30.56
11720 Removal of fingernails or toenails, 1-5 nails	116	83	$50.00	$33.03
73620 X-ray of foot, 2 views	82	60	$43.00	$26.60
G0127 Trimming of dystrophic nails, any number	76	44	$25.00	$22.32
97597 Removal of tissue from wound, 20.0 sq cm or less	76	25	$105.00	$86.76
11055 Removal of single thickened skin growth	73	53	$71.00	$55.34
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	72	61	$9.00	$6.72
11056 Removal of noncancer thickened skin growth, 2-4 growths	68	42	$60.00	$58.94
99201 New patient office or other outpatient visit, typically 10 minutes	55	55	$75.00	$45.75
20550 Injection into tendon or ligament	53	46	$175.00	$54.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$175.00	$104.97
11750 Permanent removal fingernail or toenail	37	33	$350.00	$153.40
36415 Insertion of needle into vein for collection of blood sample	26	22	$10.00	$2.94
73610 X-ray of ankle, minimum of 3 views	24	21	$52.00	$32.78
87220 Tissue fungi or parasites	24	24	$18.00	$4.65
20600 Aspiration and/or injection of fluid from small joint	14	11	$125.00	$49.55
87070 Bacterial culture	13	11	$25.00	$9.38
29540 Placement of strapping to ankle or foot	13	12	$51.00	$21.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	416	292	$100.00	$71.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	321	197	$75.00	$42.69
11721 Removal of fingernails or toenails, 6 or more nails	304	144	$80.00	$45.06
99202 New patient office or other outpatient visit, typically 20 minutes	242	242	$120.00	$73.90
73620 X-ray of foot, 2 views	224	167	$42.39	$25.26
11720 Removal of fingernails or toenails, 1-5 nails	139	94	$50.00	$32.48
97597 Removal of tissue from wound, 20.0 sq cm or less	102	26	$105.00	$80.20
G0127 Trimming of dystrophic nails, any number	100	56	$25.00	$20.76
99201 New patient office or other outpatient visit, typically 10 minutes	99	99	$75.00	$44.19
11055 Removal of single thickened skin growth	78	58	$71.00	$47.13
87220 Tissue fungi or parasites	74	74	$18.00	$5.16
11056 Removal of noncancer thickened skin growth, 2-4 growths	72	44	$60.00	$57.70
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	72	59	$9.00	$7.02
20550 Injection into tendon or ligament	61	51	$175.00	$52.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$175.00	$102.91
11750 Permanent removal fingernail or toenail	24	21	$350.00	$148.72
29540 Placement of strapping to ankle or foot	23	20	$51.00	$15.51
36415 Insertion of needle into vein for collection of blood sample	20	18	$10.00	$2.94
87077 Bacterial culture for aerobic isolates	18	13	$25.00	$9.77
87070 Bacterial culture	18	15	$25.00	$10.43
73610 X-ray of ankle, minimum of 3 views	14	13	$52.00	$30.64
73630 X-ray of foot, minimum of 3 views	13	11	$52.10	$27.10
73600 X-ray of ankle, 2 views	13	12	$47.50	$29.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	400	242	$75.00	$42.65
99213 Established patient office or other outpatient visit, typically 15 minutes	337	267	$100.00	$71.28
11721 Removal of fingernails or toenails, 6 or more nails	275	148	$80.00	$44.28
73620 X-ray of foot, 2 views	245	169	$43.00	$25.16
11720 Removal of fingernails or toenails, 1-5 nails	191	118	$50.00	$31.42
99202 New patient office or other outpatient visit, typically 20 minutes	168	168	$120.00	$73.15
99201 New patient office or other outpatient visit, typically 10 minutes	146	146	$75.00	$43.42
11056 Removal of noncancer thickened skin growth, 2-4 growths	90	63	$60.00	$56.41
G0127 Trimming of dystrophic nails, any number	89	60	$25.00	$16.22
11055 Removal of single thickened skin growth	86	58	$65.95	$45.29
97597 Removal of tissue from wound, 20.0 sq cm or less	77	32	$105.00	$71.58
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	46	40	$9.00	$6.74
20550 Injection into tendon or ligament	38	33	$175.00	$52.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	27	$40.00	$19.73
87220 Tissue fungi or parasites	25	25	$18.00	$5.74
36415 Insertion of needle into vein for collection of blood sample	19	15	$10.00	$2.94
87070 Bacterial culture	14	13	$25.00	$11.58
11750 Permanent removal fingernail or toenail	14	13	$350.00	$151.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$175.00	$101.61
29540 Placement of strapping to ankle or foot	11	11	$51.00	$18.94

Medical Specialties & State Licenses

CMS Verified: 2026-05-01

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License FL PO2691

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dme Palmetto Provider #

131864001 (FL)

Commercial Insurance / Payer ID Railroad Medicare Provide

480028215 (FL)

Commercial Insurance / Payer ID Bc Bs Provider

65576 (FL)

Commercial Insurance / Payer ID Indiv Npi

1609983345 (FL)

Commercial Insurance / Payer ID Group Npi

1043321763 (FL)

Commercial Insurance / Payer ID Medicare Group #

K0339 (FL)

Hospital & Practice Group Affiliations

Baycare Medical Group, Inc.

601 1st St N, Winter Haven, FL 338814129

Phone: 8632983204

Baycare Medical Group, Inc.

635 1st St N, Winter Haven, FL 338814129

Phone: 8632940670

Baycare Medical Group, Inc.

2461 Enterprise Rd, Clearwater, FL 337631726

Phone: 7277255060

Baycare Medical Group, Inc.

200 Ave F Ne, Winter Haven, FL 338814131

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Kajetan Pochcial , MD

Internal Medicine

NPI 1013986900

Doctor of Medicine (M.D.)

Dr. Rebecca Thomas , MD

Family Medicine

NPI 1033408984

Doctor of Medicine (M.D.)

Dr. Joseph Bergnes , MD

Internal Medicine - Medical Oncology

NPI 1053380113

Doctor of Medicine (M.D.)

Dr. Jorge Dopico , DPM

Podiatrist

NPI 1053389445

Doctor of Podiatric Medicine

Dr. Maria Martino-Villanueva , MD

Obstetrics & Gynecology

NPI 1083689160

Doctor of Medicine (M.D.)

Dr. Mary De Sena , MD

Family Medicine

NPI 1104819853

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address May 01, 2026

Registered at 2995 DREW ST FL 2, CLEARWATER, FL 337593012 (Tel: 7273157496)

📍

Updated Business Mailing Address June 12, 2024

Registered at 2995 DREW ST, CLEARWATER, FL 337593012 (Tel: 7273157496)

✅

NPI Profile Active January 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2016

Registered at 635 1ST ST N, WINTER HAVEN, FL 338814129 (Tel: 8632940670)

📍

Updated Business Mailing Address January 04, 2016

Registered at 635 1ST ST N, WINTER HAVEN, FL 338814129 (Tel: 8632940670)

👤

Provider Name / Credentials Updated January 04, 2016

Recorded as JAMES KOON, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2016

Podiatrist (License #PO2691 in FL)

🟢

Initial NPI Registration & Enumeration August 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609983345

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 25, 2006

Last Update: May 01, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2995 Drew St Fl 2

Clearwater, FL 337593012

Phone: 7273157496

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.