VLADIMIR KOREN MD
NPI 1124093950
Internal Medicine in Falmouth, MA

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
97.03/100
CMS Quality Rating
100 TER HEUN DR, FALMOUTH HOSPITAL HOSPITALIST DEPARTMENT, FALMOUTH, MA 02540(508) 457-3748(508) 457-3749 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vladimir Koren Md NPPES

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

VLADIMIR KOREN MD (NPI 1124093950) is an individual internal medicine provider in Falmouth, Massachusetts, licensed in Massachusetts (219161) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Cod Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1124093950
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVLADIMIR KORENCredential: MD
Location Address100 TER HEUN DR, FALMOUTH HOSPITAL HOSPITALIST DEPARTMENTFalmouth, MA 02540
Mailing Address100 Ter Heun Dr, Falmouth HospitalFalmouth, MA 02540 · (508) 457-3748 · Fax (508) 457-3749
Fax(508) 457-3749
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
NPI 1124093950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 219161
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 219161 (MA)
100 TER HEUN DR, Falmouth, MA 02540

Other Identifiers 2

OtherAA24902MA · Hphc
OtherJ26866MA · Bcbs

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

Vladimir Koren Md 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 ID9234024555
PECOS Enrollment IDI20040217000207
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 12

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 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.
331 services204 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.
222 services150 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
178 services143 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
83 services62 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
74 services37 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
41 services41 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cape Cod Hospital

Acute Care Hospitals · Hyannis, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220012
Location27 Park StreetHyannis, MA 02601 · Barnstable County
Emergency services Birthing friendly

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02540 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
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.

97.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.17
Promoting Interoperability100
Improvement Activities40

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 Practitioner (Psychiatric/Mental Health)
100 TER HEUN DR
FALMOUTH, MA 02540
Surgery
100 TER HEUN DR, FALMOUTH HOSPITAL
FALMOUTH, MA 02540
General Acute Care Hospital
100 TER HEUN DR
FALMOUTH, MA 02540
Emergency Medicine
100 TER HEUN DR
FALMOUTH, MA 02540
Nurse Practitioner (Family)
100 TER HEUN DR
FALMOUTH, MA 02540
Emergency Medicine
100 TER HEUN DR
FALMOUTH, MA 02540
Nurse Practitioner (Acute Care)
100 TER HEUN DR
FALMOUTH, MA 02540
Anesthesiology
100 TER HEUN DR
FALMOUTH, MA 02540

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 Vladimir Koren's NPI number?

The NPI number for Vladimir Koren is 1124093950. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Vladimir Koren located?

Vladimir Koren practices at 100 Ter Heun Dr Falmouth Hospital Hospitalist Department, Falmouth, MA 02540. The listed phone number is (508) 457-3748.

What is Vladimir Koren's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vladimir Koren enrolled in Medicare?

Yes. Vladimir Koren 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 Vladimir Koren accept?

Health plans from Anthem Blue Cross and Blue Shield list Vladimir Koren 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.

Is Vladimir Koren affiliated with any hospitals?

According to CMS data, Vladimir Koren is affiliated with Cape Cod Hospital, Beth Israel Deaconess Hospital Plymouth and Falmouth Hospital.

When was this NPI record last updated?

The NPPES record for Vladimir Koren was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.