DOREEN KONIK M.D.
NPI 1205808417
Internal Medicine in New Milford, CT

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
11 OLD PARK LN, NEW MILFORD, CT 06776(860) 355-1149(860) 355-5957 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Doreen Konik M.d. NPPES

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

DOREEN KONIK M.D. (NPI 1205808417) is an individual internal medicine provider in New Milford, Connecticut, licensed in Connecticut (42886) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1990).

NPPES Registry Identity

NPI1205808417
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDOREEN KONIKCredential: M.D.
Location Address11 OLD PARK LNNew Milford, CT 06776-2507
Mailing Address11 Old Park LnNew Milford, CT 06776-2507 · (860) 355-1149 · Fax (860) 355-5957
Fax(860) 355-5957
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1990
Enumeration DateFebruary 2, 2006
Last NPPES UpdateApril 19, 2024
NPPES CertifiedFebruary 27, 2024
NPI 1205808417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 42886
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.

11 OLD PARK LN, New Milford, CT 06776

Other Identifiers 6

Other010042886CT01CT · Anthem Bc/bs
Other2V7088CT · Acs/healthnet
Medicaid001428863CT
OtherP3597904CT · Oxford
Other4300290CT · Aetna/ushc
Other042886CT · Connecticare

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

Doreen Konik 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 ID7012984610
PECOS Enrollment IDI20050526000730
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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
462 services285 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.
330 services236 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
259 services259 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
202 services193 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
63 services11 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
62 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06776 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers29 claims104 services$4.68 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims30 services$0.90 avg. paid by Medicare
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4149
Other-Enteral and Parenteral · category OB006N
1 supplier15 claims2,962 services$1.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Cardiovascular Disease)
11 OLD PARK LN
NEW MILFORD, CT 06776
Internal Medicine
11 OLD PARK LN
NEW MILFORD, CT 06776
Internal Medicine
11 OLD PARK LN
NEW MILFORD, CT 06776

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205808417, enumerated as an "individual" on February 02, 2006.

The provider is located at 11 OLD PARK LN NEW MILFORD, CT 06776 and the phone number is (860) 355-1149.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Anthem Blue Cross,. Please consult your insurance carrier or call the provider to verify.