Active NPI 1467626374 Individual Practitioner Male Practitioner

Dr. Samuel S. Koo , MD, MPH

Orthopaedic Surgery • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Koo, MD, MPH is a certified Orthopaedic Surgery practicing in Seattle, WA. With approximately 23 years of clinical experience since graduating from Northwestern University Feinberg Medical School in 2003, Dr. Koo delivers high-quality medical care to the local community at 901 BOREN AVE.

Dr. Koo is affiliated with Proliance Surgeons Inc P S and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include x-ray of shoulder, minimum of 2 views, established patient outpatient office visit, prosthetic repair of shoulder joint, total shoulder. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

901 Boren Ave
#800

Seattle, WA 981043534

Telephone 2063231900

Fax 2063236868

Associated Practice Facility / Clinic

🏢 Wyatt T. Lee Dds Pllc Facility NPI 1154302495

Medicare Profile & Education

Medical School

Northwestern University Feinberg Medical School

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Seattle, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +1.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

154 Specialists

Practicing in Seattle, WA (707 Statewide)

Telehealth Adoption Rate

27.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koo (23 Years) 23 Yrs

Seattle Specialty Average (21.1 Years) 21.1 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
73030 X-ray of shoulder, minimum of 2 views	134	117	$86.69	$39.80
99213 Established patient office or other outpatient visit, typically 15 minutes	89	65	$177.99	$99.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	74	$250.31	$135.71
23472 Prosthetic repair of shoulder joint, total shoulder	39	39	$4283.23	$1548.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	36	$341.19	$192.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$237.71	$120.23
29827 Repair of shoulder rotator cuff using an endoscope	26	26	$3108.69	$1159.89
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$1699.64	$179.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$368.38	$169.58
29823 Removal of extensive shoulder joint tissue using an endoscope	20	20	$1799.95	$134.72
73222 Mri scan of arm joint with contrast	17	17	$1476.53	$292.10
20610 Aspiration and/or injection of fluid from large joint	16	16	$209.19	$71.96
73040 Radiological supervision and interpretation X-ray of shoulder joint	15	15	$239.13	$125.20
29828 Release of shoulder biceps tendon using an endoscope	14	14	$2654.43	$478.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$120.27	$59.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	135	116	$87.00	$40.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	72	$249.00	$137.75
99213 Established patient office or other outpatient visit, typically 15 minutes	79	61	$175.00	$98.07
73040 Radiological supervision and interpretation X-ray of shoulder joint	46	44	$217.00	$124.75
73222 Mri scan of arm joint with contrast	46	44	$1413.87	$296.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$361.00	$170.21
J1030 Injection, methylprednisolone acetate, 40 mg	36	16	$12.00	$7.51
29823 Removal of extensive shoulder joint tissue using an endoscope	35	35	$1745.00	$148.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	35	$340.00	$191.12
23472 Prosthetic repair of shoulder joint, total shoulder	34	32	$4250.00	$1455.61
29827 Repair of shoulder rotator cuff using an endoscope	33	33	$3057.00	$1155.36
29828 Release of shoulder biceps tendon using an endoscope	23	23	$2555.00	$523.60
20610 Aspiration and/or injection of fluid from large joint	21	19	$215.05	$70.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$237.00	$123.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$120.00	$62.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	121	108	$87.00	$40.39
99213 Established patient office or other outpatient visit, typically 15 minutes	97	74	$175.00	$98.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	68	$249.00	$141.26
73040 Radiological supervision and interpretation X-ray of shoulder joint	58	55	$217.00	$126.16
73222 Mri scan of arm joint with contrast	56	53	$1425.32	$317.04
J1030 Injection, methylprednisolone acetate, 40 mg	55	24	$12.00	$6.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$361.00	$182.83
29827 Repair of shoulder rotator cuff using an endoscope	27	27	$3057.00	$1168.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$237.00	$116.47
20610 Aspiration and/or injection of fluid from large joint	26	25	$210.00	$70.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$120.00	$61.99
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$1656.00	$184.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$340.00	$190.93
23472 Prosthetic repair of shoulder joint, total shoulder	19	19	$4250.00	$1565.20
29828 Release of shoulder biceps tendon using an endoscope	18	18	$2555.00	$512.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	119	108	$87.00	$39.24
99213 Established patient office or other outpatient visit, typically 15 minutes	111	83	$151.07	$100.11
73040 Radiological supervision and interpretation X-ray of shoulder joint	63	56	$217.00	$121.83
73222 Mri scan of arm joint with contrast	61	54	$1493.16	$335.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	55	$229.42	$142.26
J1030 Injection, methylprednisolone acetate, 40 mg	46	22	$12.00	$5.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$222.21	$122.79
29827 Repair of shoulder rotator cuff using an endoscope	27	27	$3057.00	$1184.62
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	24	24	$1656.00	$187.75
23472 Prosthetic repair of shoulder joint, total shoulder	23	23	$4250.00	$1593.74
20610 Aspiration and/or injection of fluid from large joint	23	22	$210.00	$69.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	16	$93.16	$62.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$340.29	$185.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$311.88	$176.37
29828 Release of shoulder biceps tendon using an endoscope	14	14	$2555.00	$526.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	64	$143.00	$82.53
73030 X-ray of shoulder, minimum of 2 views	82	72	$87.00	$38.06
73040 Radiological supervision and interpretation X-ray of shoulder joint	48	46	$217.00	$109.83
73222 Mri scan of arm joint with contrast	46	44	$1430.17	$345.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	40	$214.00	$119.92
29827 Repair of shoulder rotator cuff using an endoscope	37	36	$3057.00	$1188.90
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	36	36	$1656.00	$190.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$214.00	$119.20
J1030 Injection, methylprednisolone acetate, 40 mg	30	15	$12.00	$6.06
23472 Prosthetic repair of shoulder joint, total shoulder	24	24	$4250.00	$1606.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$329.00	$180.33
29828 Release of shoulder biceps tendon using an endoscope	19	19	$2555.00	$548.66
20610 Aspiration and/or injection of fluid from large joint	16	16	$210.00	$69.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	80	$143.00	$78.94
73030 X-ray of shoulder, minimum of 2 views	96	86	$87.00	$33.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	45	$214.00	$114.34
73040 Radiological supervision and interpretation X-ray of shoulder joint	45	45	$217.00	$93.70
73222 Mri scan of arm joint with contrast	44	44	$1420.05	$331.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$214.00	$117.79
J1030 Injection, methylprednisolone acetate, 40 mg	38	19	$12.00	$6.29
23472 Prosthetic repair of shoulder joint, total shoulder	34	32	$4250.00	$1587.58
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	30	30	$1656.00	$186.48
29827 Repair of shoulder rotator cuff using an endoscope	30	30	$3057.00	$1139.08
20610 Aspiration and/or injection of fluid from large joint	20	19	$210.00	$65.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$86.00	$49.56
29828 Release of shoulder biceps tendon using an endoscope	15	15	$2555.00	$476.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$329.00	$177.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	82	74	$86.27	$32.69
99213 Established patient office or other outpatient visit, typically 15 minutes	82	61	$141.84	$79.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	54	$213.17	$114.87
J1030 Injection, methylprednisolone acetate, 40 mg	53	24	$12.00	$6.68
73222 Mri scan of arm joint with contrast	37	33	$1423.59	$338.64
73040 Radiological supervision and interpretation X-ray of shoulder joint	36	32	$219.31	$84.36
20610 Aspiration and/or injection of fluid from large joint	27	24	$208.70	$65.70
29827 Repair of shoulder rotator cuff using an endoscope	27	26	$3026.48	$1109.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$327.24	$177.21
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	23	23	$1641.39	$189.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$212.95	$116.78
23472 Prosthetic repair of shoulder joint, total shoulder	16	16	$4223.00	$1549.56
29828 Release of shoulder biceps tendon using an endoscope	12	12	$2540.67	$560.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$417.73	$214.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	92	61	$138.00	$76.94
73030 X-ray of shoulder, minimum of 2 views	77	65	$84.00	$30.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$207.00	$112.75
20610 Aspiration and/or injection of fluid from large joint	36	30	$203.00	$64.69
J1040 Injection, methylprednisolone acetate, 80 mg	31	27	$22.00	$10.91
73040 Radiological supervision and interpretation X-ray of shoulder joint	28	28	$210.00	$80.22
73222 Mri scan of arm joint with contrast	25	25	$1404.20	$338.41
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	19	$1527.53	$182.58
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$2954.00	$1076.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$207.00	$115.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$318.00	$174.72
29828 Release of shoulder biceps tendon using an endoscope	12	12	$2469.00	$604.40
23472 Prosthetic repair of shoulder joint, total shoulder	12	11	$4106.00	$1441.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$83.00	$45.43

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WA MD600772440

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License IL 036-114852

Hospital & Practice Group Affiliations

Proliance Surgeons Inc P S

901 Boren Ave, Seattle, WA 981043596

Phone: 2063231900

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Maxine Weyant , MD

Family Medicine - Sports Medicine

NPI 1063563229

Doctor of Medicine (M.D.)

Jeanine Godec , PA-C

Physician Assistant - Medical

NPI 1144262676

Physician Assistant (Certified)

Claudia Kalotay , PA-C

Physician Assistant - Surgical

NPI 1528007069

Physician Assistant (Certified)

Dr. Mary Cunningham , MD

Orthopaedic Surgery

NPI 1528173424

Doctor of Medicine (M.D.)

Dr. Addison Stone , MD

Orthopaedic Surgery

NPI 1538269006

Doctor of Medicine (M.D.)

Todd Miller , RN

Registered Nurse - Registered Nurse First Assistant

NPI 1558686766

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 31, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2012

Registered at 901 BOREN AVE, #800, SEATTLE, WA 981043534 (Tel: 2063231900)

📍

Updated Business Mailing Address December 31, 2012

Registered at 805 MADISON ST, SUITE 901, SEATTLE, WA 981041172 (Tel: 2062648100)

👤

Provider Name / Credentials Updated December 31, 2012

Recorded as SAMUEL KOO, MD, MPH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2012

Orthopaedic Surgery (License #MD600772440 in WA)

🟢

Initial NPI Registration & Enumeration April 22, 2008

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: 1467626374

Entity Type:

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

Enumeration Date: April 22, 2008

Last Update: December 31, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

805 Madison St, Suite 901

Seattle, WA 981041172

Phone: 2062648100

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.