Paul D. Koelliker, M.D.
NPI 1417921453ActiveIndividual· Emergency Medicine· Parker, AZ
Emergency Medicine (M.D.) with Dhhs Phs Naihs Crownpoint Hospital, practicing in Parker, Arizona. Mostly services rather than prescriptions: Medicare paid $11,101 for 60 patients in 2024, with only 22 Part D claims. Lists Crownpoint Healthcare Facility and 1 other hospital as hospital affiliations.
Overview
| NPI | 1417921453 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Feb 15, 2006 |
| Last updated in NPPES | Jun 8, 2026 |
| Certified by provider | Jun 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 2001-235 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CO); Practitioner - Emergency Medicine (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 358 across 76 procedure codes |
| Paid by Medicare | $11,101 |
Part D prescriptions in 2024
| Prescriptions (claims) | 22 · 22 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $201.73 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Dhhs Phs Naihs Crownpoint HospitalCrownpoint, NM · 45 clinicians
Hospital affiliations
- Crownpoint Healthcare FacilityCrownpoint, NM
- Parker Indian Health CenterParker, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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