NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1780974642 MD
Verify on CMS → Peter Koon, MD
Internal Medicine Physician in Bellevue, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
707
Medicare Part D claims · 100 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
79.2/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$347.3
4 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Peter Koon, MD reported a CMS MIPS final score of 79.2/100 - below the 83.1 national average - and filed 707 Medicare Part D claims in 2023.
- 79.2/100
- MIPS score · -4 vs avg
- 707
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Peter Koon, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 30th percentile higher than 30% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Peter Koon, MD sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Peter Koon, MD writes more Part D claims than 50% of them and scores higher on MIPS quality than 29% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Peter Koon, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Peter Koon, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Peter Koon, MD?
Near national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
707 74% vs specialty avg
MIPS final score
79.2/100 3.9 pts vs avg
Specialty distribution in Washington
How Internal Medicine Physician compares to other specialties among Washington providers
Medicare quality performance, MIPS
Peter Koon, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 79.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 79.2/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Peter Koon, MD appears in the CMS NPPES registry as an Internal Medicine Physician provider holding MD credentials at 1035 116TH AVE NE, Bellevue, WA, 98004, with a listed phone of (425) 688-5000. NPI 1780974642 was issued on 04/12/2011.
Medicare Part D records for calendar year 2023 show 707 prescription claims written by this provider, covering 100 Medicare beneficiaries and totaling roughly $248K in drug spend, with an opioid prescribing rate of 1.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.2/100 for the 2023 performance year (Quality 74.5, Cost 56), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1780974642 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/12/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.168
Final Score
Avg: 83.1
74.5323
Quality
56.0276
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Peter Koon, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Overlake Medical Clinics LLC
Bellevue, WA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Peter Koon, MD. Source: openpaymentsdata.cms.gov.
Total received
$347
Largest payer
Inari Medical, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Washington WMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 - they are NOT specific to Peter Koon, MD. To verify Peter Koon, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
707
Total Claims
$248K
Total Drug Cost
100
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 968
- Total Day Supply
- 27,326
- Generic Drug Cost
- $12K
- Opioid Claims
- 13 (1.8% rate)
- Antibiotic Claims
- 28
Patient Demographics
- Average Patient Age
- 75.4 years
- Avg HCC Risk Score
- 1.47
- Gender Split
- 41% female / 59% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Peter Koon, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
93 claims
- Breo Ellipta
Breo Ellipta
70 claims
- Montelukast Sodium
Montelukast Sodium
64 claims
- Fluticasone Propio…
Fluticasone Propionate
62 claims
- Azelastine Hcl
Azelastine Hcl
44 claims
- Trelegy Ellipta
Trelegy Ellipta
43 claims
- Anoro Ellipta 37
Anoro Ellipta
37 claims
- Omeprazole 34
Omeprazole
34 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 93 |
| Breo Ellipta Fluticasone/Vilanterol | 70 |
| Montelukast Sodium | 64 |
| Fluticasone Propionate | 62 |
| Azelastine Hcl | 44 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 43 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 37 |
| Omeprazole | 34 |
| Xolair Omalizumab | 30 |
| Symbicort Budesonide/Formoterol Fumarate | 26 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Peter Koon, MD fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Peter Koon, MD's 707 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Koon.
Dr. Sheida Aalami
M.D.
Seattle, WA
Dr. Barry Aaronson
MD
Seattle, WA
Gloria Abacan
Prosser, WA
Rebecca Abay
Seattle, WA
Syed Abbas
Tacoma, WA
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Washington medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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Frequently Asked Questions
What is Peter Koon, MD's specialty? ▼
Peter Koon, MD specializes in Internal Medicine Physician and practices in Bellevue, Washington. Credentials: MD.
How much does Peter Koon, MD prescribe under Medicare Part D? ▼
In 2023, Peter Koon, MD wrote 707 Medicare Part D claims totaling $248K in drug costs for 100 beneficiaries.
What is Peter Koon, MD's Medicare quality score? ▼
Peter Koon, MD has a CMS MIPS Final Score of 79.2/100 (Quality: 74.5, Cost: 56). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Peter Koon, MD located? ▼
Peter Koon, MD is located at 1035 116TH AVE NE, Bellevue, WA, 98004. Phone: (425) 688-5000.
What is Peter Koon, MD's NPI number? ▼
Peter Koon, MD's National Provider Identifier (NPI) is 1780974642, issued on 04/12/2011.
Does Peter Koon, MD prescribe opioids? ▼
Yes, Peter Koon, MD had 13 opioid claims in 2023 with an opioid prescribing rate of 1.8%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Peter Koon, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Peter Koon, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Breo Ellipta, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Peter Koon, MD accept Medicare? ▼
Peter Koon, MD appears in CMS Medicare data with 707 Part D claims and 100 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Peter Koon, MD's credentials? ▼
Peter Koon, MD's NPI is 1780974642 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.