HELEN KOENIGSMAN M.D.
NPI 1013179274
Ophthalmology - Glaucoma Specialist in Medford, OR

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
87.85/100
CMS Quality Rating
1333 E BARNETT RD, MEDFORD, OR 97504(541) 779-4711 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2020, Jul 26, 2017 (2 updates tracked since 2017).

About Helen Koenigsman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HELEN KOENIGSMAN M.D. (NPI 1013179274) is an individual glaucoma specialist in Medford, Oregon, licensed in Oregon (MD157427) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2008).

NPPES Registry Identity

NPI1013179274
Entity TypeIndividualFemale
Primary Taxonomy207WX0009X
Provider Legal NameHELEN KOENIGSMANCredential: M.D.
Location Address1333 E BARNETT RDMedford, OR 97504-8219
Mailing Address1333 E Barnett RdMedford, OR 97504-8219 · (541) 779-4711
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateMay 21, 20202 updates tracked since enumeration
NPPES CertifiedMay 21, 2020
NPI 1013179274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License Licensed in OR · MD157427
Definition

An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.

Also ListedInternal MedicineTaxonomy 207R00000X · License TRN12440 (FL)
Also ListedOphthalmologyTaxonomy 207W00000X · License MD157427 (OR)
1333 E BARNETT RD, Medford, OR 97504

Other Identifiers 1

Medicaid500647838OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Helen Koenigsman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931356433
PECOS Enrollment IDI20120905000351
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
442 services431 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
369 services364 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
313 services188 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
286 services256 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
264 services224 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
258 services147 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.26
Improvement Activities40
Cost67.17

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1333 E BARNETT RD
MEDFORD, OR 97504
Nurse Anesthetist, Certified Registered
1333 E BARNETT RD
MEDFORD, OR 97504
Ophthalmology
1333 E BARNETT RD
MEDFORD, OR 97504
Ophthalmology (Retina Specialist)
1333 E BARNETT RD
MEDFORD, OR 97504
Ophthalmology (Cornea and External Diseases Specialist)
1333 E BARNETT RD
MEDFORD, OR 97504
Optometrist
1333 E BARNETT RD
MEDFORD, OR 97504
Eyewear Supplier
1333 E BARNETT RD
MEDFORD, OR 97504
Nurse Anesthetist, Certified Registered
1333 E BARNETT RD
MEDFORD, OR 97504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Helen Koenigsman's NPI number?

The NPI number for Helen Koenigsman is 1013179274. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Helen Koenigsman located?

Helen Koenigsman practices at 1333 E Barnett Rd, Medford, OR 97504. The listed phone number is (541) 779-4711.

What is Helen Koenigsman's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Helen Koenigsman enrolled in Medicare?

Yes. Helen Koenigsman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Helen Koenigsman accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Helen Koenigsman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Helen Koenigsman was last updated on May 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.