JENNIFER A. COUKOS M.D.
NPI 1164884367
Internal Medicine - Gastroenterology in Worcester, MA

Q: What is Jennifer Coukos's NPI number?

The NPI number for Jennifer Coukos is 1164884367. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Q: What is Jennifer Coukos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Coukos was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2016PECOS EnrolledAccepts Medicare Assignment

97.02/100

CMS Quality Rating

55 LAKE AVE N, WORCESTER, MA 01655(508) 334-2846 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2026, Jul 25, 2022, Mar 26, 2016 (3 updates tracked since 2016).

On this page

About Jennifer A. Coukos M.d. NPPES

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

JENNIFER A. COUKOS M.D. (NPI 1164884367) is an individual gastroenterology provider in Worcester, Massachusetts, licensed in Massachusetts (291592) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1164884367

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameJENNIFER A. COUKOSCredential: M.D.

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885

Phone(508) 334-2846

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2016

Enumeration DateMarch 26, 2016

Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration

NPPES CertifiedMarch 6, 2026

✔ NPI 1164884367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MA · 291592

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

55 LAKE AVE N, Worcester, MA 01655

Open in Google Maps ↗

Secondary Practice Locations 4

Location 121 Eastern AveWorcester, MA 01605-3094 · Phone (508) 856-2500

Location 228 Newton StSouthborough, MA 01772-1215 · Phone (508) 597-2233

Location 3119 Belmont StWorcester, MA 01605-2903 · Phone (508) 334-2846

Location 4157 Union StMarlborough, MA 01752-1228 · Phone (508) 334-3068

Other Identifiers 1

Medicaid110115468AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Jennifer A. Coukos 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 ID5890087035

PECOS Enrollment IDI20220809001701

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 16

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

77 services75 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

53 services41 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

46 services46 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

44 services44 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

40 services39 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

35 services34 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

29 services29 patients

28 services28 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.

27 services23 patients

Biopsy of large bowel using a flexible endoscope 45380

24 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

18 services18 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

17 services17 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

14 services12 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

14 services14 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220001

Location60 Hospital RoadLeominster, MA 01453 · Worcester County

Emergency services

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220019

Location100 South StreetSouthbridge, MA 01550 · Worcester County

Emergency services

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220049

Location157 Union StreetMarlborough, MA 01752 · Middlesex County

Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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.

97.02/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.09

Promoting Interoperability

100

Improvement Activities

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.

MARTHA LAROSE SAMPSON CRNA

Nurse Anesthetist, Certified Registered

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

LINDA A PAPE M.D.

Internal Medicine (Cardiovascular Disease)

55 LAKE AVE N, CARDIOLOGY
WORCESTER, MA 01655

Worcester County (508) 856-3050

DR. DALE E RAUCH M.D.

Psychiatry & Neurology (Psychiatry)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 856-6580

JESSICA L DOUGLAS MS

Genetic Counselor, MS

55 LAKE AVE N, S1-710
WORCESTER, MA 01655

Worcester County (508) 334-3517

DR. JULIANNE PATRICIA HUBER MD

Emergency Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 421-1400

ELLEN M GRAVALLESE M.D.

Internal Medicine (Rheumatology)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-5224

DR. ABIGAIL ADAMS M.D.

Internal Medicine

55 LAKE AVE N, DEPARTMENT OF GENERAL MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-2731

GAMZE AYATA MD

Pathology (Anatomic Pathology)

55 LAKE AVE N, DEPARTMENT OF PATHOLOGY
WORCESTER, MA 01655

Worcester County (508) 793-6100

DR. MARIANNE E FELICE M.D.

Pediatrics (Adolescent Medicine)

55 LAKE AVE N, DEPARTMENT OF PEDIATRIC ADOLESCENT MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-3199

JOHN PULLERITS M.D.

Anesthesiology

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

DIANA I. KOUZNETSOV MD

Anesthesiology

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

DR. STANLEY K TAM MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

55 LAKE AVE N, DEPARTMENT OF SURGERY
WORCESTER, MA 01655

Worcester County (508) 334-3962

MICHAEL C. BUTLER MD

Emergency Medicine

55 LAKE AVE N, DEPARTMENT OF EMERGENCY MEDICINE
WORCESTER, MA 01655

Worcester County (508) 421-1400

ROBERT B ZURIER M.D.

Internal Medicine (Rheumatology)

55 LAKE AVE N, DEPARTMENT OF RHEUMATOLOGY
WORCESTER, MA 01655

Worcester County (508) 856-6246

JUDITH A STEBULIS M.D.

Internal Medicine (Rheumatology)

55 LAKE AVE N, DEPARTMENT OF RHEUMATOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-5224

DR. SHAN LU M.D.

Internal Medicine

55 LAKE AVE N, DEPARTMENT OF INTERNAL MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-6791

DR. MITCHELL CAHAN M.D.

Surgery

55 LAKE AVE N, DEPARTMENT OF GENERAL SURGERY
WORCESTER, MA 01655

Worcester County (508) 334-7656

JOHN A PARASKOS M.D.

Internal Medicine (Cardiovascular Disease)

55 LAKE AVE N, DEPARTMENT OF CARDIOVASCULAR MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-3905

DR. ANDREW J SUSSMAN M.D.

Internal Medicine

55 LAKE AVE N, DEPARTMENT OF INTERNAL MEDICINE
WORCESTER, MA 01655

Worcester County (508) 856-3063

ATHANASIUS A ANAGNOSTOU M.D.

Internal Medicine (Hematology & Oncology)

55 LAKE AVE N, DEPARTMENT OF HEMATOLOGY/ONCOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-5141

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 Jennifer Coukos's NPI number?

The NPI number for Jennifer Coukos is 1164884367. It was assigned to this individual provider in the NPPES registry on March 26, 2016.

Where is Jennifer Coukos located?

Jennifer Coukos practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-2846.

What is Jennifer Coukos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jennifer Coukos enrolled in Medicare?

Yes. Jennifer Coukos 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 Jennifer Coukos accept?

Health plans from Anthem Blue Cross and Blue Shield list Jennifer Coukos 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 Jennifer Coukos affiliated with any hospitals?

According to CMS data, Jennifer Coukos is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Umass Memorial Healthcare-Marlborough Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Jennifer Coukos was last updated on March 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.