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PETER NAMKOONG M.D.
NPI 1154385649
Obstetrics & Gynecology in Albany, NY

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
1365 WASHINGTON AVE, SUITE 201, ALBANY, NY 12206(518) 489-4446(518) 489-4448 Get Directions Write a Review

NPPES record last updated: January 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter Namkoong M.d. NPPES

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

PETER NAMKOONG M.D. (NPI 1154385649) is an individual obstetrics & gynecology provider in Albany, New York, licensed in New York (213838) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1154385649
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePETER NAMKOONGCredential: M.D.
Location Address1365 WASHINGTON AVE, SUITE 201Albany, NY 12206-1068
Mailing Address1365 Washington Ave, Suite 201Albany, NY 12206-1068 · (518) 489-4446 · Fax (518) 489-4448
Phone(518) 489-4446
Fax(518) 489-4448
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateApril 13, 2006
Last NPPES UpdateJanuary 31, 2012
✔ NPI 1154385649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 213838
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1365 WASHINGTON AVE, Albany, NY 12206
Open in Google Maps ↗

Other Identifiers 6

Medicare UPINH02986NY
Medicaid01956514NY
Other15901NY · Mvp Provider #
Other10030727NY · Cdphp Provider #
Other160055710NY · Railroad Medicare
Medicare ID-Type UnspecifiedBB6715NY

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

Peter Namkoong 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 ID5092873711
PECOS Enrollment IDI20100804000794
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
81 services81 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
29 services26 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
27 services27 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.
20 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12206 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

KATHRYN DAVIS RN, MS, CDE
Registered Nurse (Diabetes Educator)
1365 WASHINGTON AVE, SUITE 300
ALBANY, NY 12206
Albany County (518) 489-4704
ANN BIITTIG RN, CDE
Registered Nurse (Diabetes Educator)
1365 WASHINGTON AVE, SUITE 300
ALBANY, NY 12206
Albany County (518) 489-4704
PATRICIA MARSH RPA-C
Physician Assistant
1365 WASHINGTON AVE, SUITE 300
ALBANY, NY 12206
Albany County (518) 489-4704
UPSTATE OB/GYN ASSOCIATES,P.C.
Obstetrics & Gynecology
1365 WASHINGTON AVE, SUITE 201
ALBANY, NY 12206
Albany County (518) 489-4446
GERARD BUCHANAN PT
Physical Therapist
1365 WASHINGTON AVE
ALBANY, NY 12206
Albany County (518) 438-7926
DAWN B DLUGE-AUNGST PA, CDE
Physician Assistant
1365 WASHINGTON AVE, SUITE 300
ALBANY, NY 12206
Albany County (518) 489-4704
ALBANY NUCLEAR MEDICINE PC
Clinic/Center (Multi-Specialty)
1365 WASHINGTON AVE
ALBANY, NY 12206
Albany County (518) 482-4838
E SCOTT MACOMBER MD PC
Specialist
1365 WASHINGTON AVE, SUITE 200
ALBANY, NY 12206
Albany County (518) 438-0505

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 Peter Namkoong's NPI number?

The NPI number for Peter Namkoong is 1154385649. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Peter Namkoong located?

Peter Namkoong practices at 1365 Washington Ave Suite 201, Albany, NY 12206. The listed phone number is (518) 489-4446.

What is Peter Namkoong's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Peter Namkoong enrolled in Medicare?

Yes. Peter Namkoong 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.

Is Peter Namkoong affiliated with any hospitals?

According to CMS data, Peter Namkoong is affiliated with Albany Medical Center Hospital, St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Peter Namkoong was last updated on January 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.