Justin Jacob Koenig, DO
Surgery Physician · South Bend, IN
Justin Jacob Koenig, DO is a surgery physician with a practice address in South Bend, Indiana, and NPI 1821314360, issued on Apr 8, 2010. Check the license (Indiana 02005590A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Justin Jacob Koenig
- Credential
- DO
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 02005590A IN
Self-reported in NPPES; status is on the state search - Practice location
- 621 Memorial Dr Ste 502, South Bend, IN 46601
- Phone
- (574) 647-5875
- Enumerated
- Apr 8, 2010
- Record last updated
- Dec 1, 2025
- Fax
- (574) 647-5878
- Medicaid ID
- 300024549 IN
- Medicare enrollment
- Enrolled (PECOS I20190416002179); accepts Medicare assignment
- Medical or professional school
- Midwestern University, Chicago College Of Osteopathic Med, 2010
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 612 in Indiana → Look up another NPI →
Also registered at 621 Memorial Dr Ste 502
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Gregory Bingaman, NPAcute Care Nurse Practitioner1265700090
- Robert Credi, MDSurgery Physician1013907781
- Lauran CuylerRegistered Nurse1497692834
- Daniela Edson, AGACNP, NPGerontology Nurse Practitioner1447721105
- Alexis Green, DNPNurse Practitioner1942900857
- Brett Hooker, FNP-BCFamily Nurse Practitioner1083485379
Verify Justin Jacob Koenig in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 02005590ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
78% fewer Medicare Part D claims than the average surgery physician in 2024
33 Medicare Part D claims for 17 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 12 claims were for opioids.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $282.31
7 payments; by number, the most common kind was food and beverage; the largest payer was Zimmer Biomet Holdings, Inc. The 17,103 providers of this specialty with any payment received $3,513.80 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Beacon Medical Group IncElkhart, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Justin Jacob Koenig among 612 surgery physician records in Indiana
Justin Jacob Koenig, DO is one of 612 surgery physician records with a practice address in Indiana. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 65% of them.
- NPI issued2010 · 65% of these records are older, 32% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2010 · median 2004 among the 408 with a school on file
- Record last updated2025 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Indiana
There are 612 surgery physician records in Indiana.
All 612 in Indiana → Every provider in South Bend → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- William Anderson, MDSouth Bend, IN 466011194177451
- Robert Credi, MDSouth Bend, IN 466011013907781
- Katherine GozeSouth Bend, IN 466011326459108
- Daniel Srikureja, MDSouth Bend, IN 466011235455270
- Scott Thomas, MDSouth Bend, IN 466011033196126
- Mark Thompson, M.D.South Bend, IN 466011538136361
- Alfredo Casetti, MDSouth Bend, IN 466171679562383
- Adria Ford, D.O.Warsaw, IN 465801861609182
Common questions
What is Justin Jacob Koenig, DO's NPI number?
Justin Jacob Koenig, DO's National Provider Identifier (NPI) is 1821314360, issued on Apr 8, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Justin Jacob Koenig, DO located?
The NPPES record lists a practice address at 621 Memorial Dr Ste 502, South Bend, IN, 46601. Phone: (574) 647-5875. Providers update this record themselves, so call before visiting.
How can I verify Justin Jacob Koenig, DO's license?
NPPES lists Indiana license number 02005590A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Justin Jacob Koenig, DO prescribe under Medicare Part D?
In 2024, Justin Jacob Koenig, DO had 33 Medicare Part D claims for 17 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.