DOUGLAS S COHEN MD
NPI 1275549305
Neurological Surgery in New York, NY

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
66.8/100
CMS Quality Rating
1000 10TH AVE, DEPARTMENT OF NEUROSURGERY SUITE 5G-80, NEW YORK, NY 10019(212) 523-8500 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas S Cohen Md NPPES

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

DOUGLAS S COHEN MD (NPI 1275549305) is an individual neurological surgery provider in New York, New York, licensed in New York (2023171) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Richmond University Medical Center, and is a graduate of Harvard Medical School (1990).

NPPES Registry Identity

NPI1275549305
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDOUGLAS S COHENCredential: MD
Location Address1000 10TH AVE, DEPARTMENT OF NEUROSURGERY SUITE 5G-80New York, NY 10019-1147
Mailing AddressPo Box 95000-2234Philadelphia, PA 19195-2234 · (212) 523-8500 · Fax (212) 523-8505
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1990
Enumeration DateJuly 31, 2006
Last NPPES UpdateNovember 6, 2015
NPI 1275549305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NY · 2023171
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1000 10TH AVE, New York, NY 10019

Other Identifiers 3

Medicare UPING37766
Medicaid01654920NY
Medicare ID-Type Unspecified38E891NY

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

Douglas S Cohen 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 ID2365573789
PECOS Enrollment IDI20100629000779
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 7

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.
86 services60 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 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.
47 services39 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.
25 services25 patients
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.
21 services21 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.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Richmond University Medical Center

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330028
Location355 Bard AvenueStaten Island, NY 10310 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10019 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

66.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.27
Promoting Interoperability0.55
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.

Internal Medicine (Hematology)
1000 10TH AVE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019
Emergency Medicine
1000 10TH AVE
NEW YORK, NY 10019
Pediatrics
1000 10TH AVE
NEW YORK, NY 10019
Radiology (Diagnostic Radiology)
1000 10TH AVE, SUITE 4B14
NEW YORK, NY 10019
Internal Medicine
1000 10TH AVE, ST. LUKE'S ROOSEVELT - DEPARTMENT OF INTERNAL MEDICINE
NEW YORK, NY 10019
Student in an Organized Health Care Education/Training Program
1000 10TH AVE
NEW YORK, NY 10019

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 Douglas Cohen's NPI number?

The NPI number for Douglas Cohen is 1275549305. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Douglas Cohen located?

Douglas Cohen practices at 1000 10th Ave Department Of Neurosurgery Suite 5g-80, New York, NY 10019. The listed phone number is (212) 523-8500.

What is Douglas Cohen's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Douglas Cohen enrolled in Medicare?

Yes. Douglas Cohen 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 Douglas Cohen affiliated with any hospitals?

According to CMS data, Douglas Cohen is affiliated with Richmond University Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Cohen was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.