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Deactivated NPI 1780606640 Deactivated / Inactive NPI Male Practitioner

Dr. Dean T Koukos , DO

General Practice • Barnwell, SC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dean Koukos has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 23, 2006
NPI Deactivation Date May 08, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Dean Koukos, DO was a registered General Practice practicing in Barnwell, SC. Throughout an active medical career spanning 18 years, Dr. Koukos provided care at the practice location at 86 WREN ST until profile deactivation on 2024-05-08.

Historical Medicare Part B clinical services included blood glucose (sugar) test performed by hand-held instrument, x-ray of chest, 2 views, hemoglobin a1c level. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

86 Wren St

Barnwell, SC 29812

Telephone 8032595762
Fax 8032593050
Associated Practice Facility / Clinic
🏢 Burke Hospital Company Facility NPI 1740995802

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Barnwell, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Barnwell, SC (173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
82962 Blood glucose (sugar) test performed by hand-held instrument
75 53 $24.07 $3.21
71046 X-ray of chest, 2 views
64 42 $68.44 $21.21
83036 Hemoglobin A1C level
63 46 $45.00 $9.52
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
33 29 $30.00 $5.73
81003 Automated urinalysis test
33 30 $20.00 $2.20
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b
32 31 $160.00 $139.78
72100 X-ray of lower and sacral spine, 2-3 views
16 14 $67.50 $26.65

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License SC 826

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Candace Kirby , MSN, FNP-C

Nurse Practitioner

NPI 1083004311

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Marsha Carroll , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1093143836

Advanced Practice Registered Nurse

Sharnte Dukes-Jamison , APRN

Nurse Practitioner - Family

NPI 1265819403

Advanced Practice Registered Nurse

John Young , LISW

Social Worker

NPI 1306912530

Licensed Independent Social Worker

Naomi Richardson , CNM

Advanced Practice Midwife

NPI 1437162260

Certified Nurse Midwife

Dr. Jennifer Rahn , MD

Family Medicine

NPI 1689094666

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
⚠️
NPI Profile Deactivated May 08, 2024

Record deactivated on May 08, 2024

NPI Profile Active November 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2017

Registered at 86 WREN ST, BARNWELL, SC 29812 (Tel: 8032595762)

📍
Updated Business Mailing Address November 14, 2017

Registered at 86 WREN ST, BARNWELL, SC 298121529 (Tel: 8032595762)

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Provider Name / Credentials Updated November 14, 2017

Recorded as DEAN KOUKOS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2017

General Practice (License #826 in SC)

NPI Profile Active November 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2016

Registered at 86 WREN ST, BARNWELL, SC 29812 (Tel: 8032595762)

📍
Updated Business Mailing Address November 08, 2016

Registered at 86 WREN ST, BARNWELL, SC 298121529 (Tel: 8032595762)

👤
Provider Name / Credentials Updated November 08, 2016

Recorded as DEAN KOUKOS, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2016

General Practice (License #826 in SC)

🟢
Initial NPI Registration & Enumeration July 23, 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: 1780606640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2006
Last Update: November 08, 2016
Deactivation Date: May 08, 2024

Mailing Address

86 Wren St

Barnwell, SC 298121529

Phone: 8032595762

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.