DR. NATHAN PHILLIP COHEN M.D.
NPI 1285686774
Orthopaedic Surgery in Lake Charles, LA

Q: What is Nathan Cohen's NPI number?

The NPI number for Nathan Cohen is 1285686774. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Nathan Cohen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Cohen was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 16, 2006PECOS Enrolled

64.87/100

CMS Quality Rating

1717 OAK PARK BLVD, 3RD FLOOR, LAKE CHARLES, LA 70601(337) 494-4900(337) 494-4797 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2022, Feb 3, 2022 (2 updates tracked since 2022).

On this page

About Dr. Nathan Phillip Cohen M.d. NPPES

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

DR. NATHAN PHILLIP COHEN M.D. (NPI 1285686774) is an individual orthopaedic surgery provider in Lake Charles, Louisiana, licensed in Louisiana (05658R) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Charles Memorial Hospital, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1285686774

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. NATHAN PHILLIP COHENCredential: M.D.

Location Address1717 OAK PARK BLVD, 3RD FLOORLake Charles, LA 70601-8991

Mailing AddressPo Box 122165 Dept 2165Dallas, TX 75312-0001 · (337) 494-2772 · Fax (337) 494-2928

Phone(337) 494-4900

Fax(337) 494-4797

Sole ProprietorNo

Medical School CMSOtherGraduated 1975

Enumeration DateMay 16, 2006

Last NPPES UpdateApril 27, 20222 updates tracked since enumeration

NPPES CertifiedApril 27, 2022

✔ NPI 1285686774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in LA · 05658R

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1717 OAK PARK BLVD, Lake Charles, LA 70601

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Other Identifiers 1

Medicaid1326127LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nathan Phillip Cohen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608965249

PECOS Enrollment IDI20071204000491

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.

Medicare Billing Reassignment

Medicare enrollment records show Nathan Cohen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Charles Medical Services Orthopedics Associates LLC

Same address

Orthopaedic Surgery

1717 OAK PARK BLVD FL 3
Lake Charles, LA 70601

Reassigned Medicare billing, Louisiana enrollment
14 clinicians in this Medicare group

NPI 1962695361 (337) 494-4900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg J3304

Triamcinolone acetonide is a long-lasting, preservative-free steroid injection. It's delivered in tiny, slow-releasing particles (microspheres) to manage inflammation or related conditions. The dose given is 1 mg. It's generally safe with few side effects.

3,808 services61 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

310 services210 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.

271 services202 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

265 services190 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

203 services147 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.

176 services156 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

124 services92 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.

85 services85 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

70 services66 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

70 services31 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.

52 services47 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

27 services20 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

26 services17 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

17 services16 patients

Hospital Affiliations CMS Care Compare

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

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190060

Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

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.

64.87/100

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

Individually scored

Quality

73.25

Improvement Activities

Cost

18.59

Reported Quality Measures

Advance Care Plan

100%701 patients5/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

37%127 patients2/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

99%2,016 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%749 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

65%1,158 patients3/55-star benchmark: 98%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 763 patients

7%763 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers39 claims39 services$59.31 avg. paid by Medicare

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

1 supplier66 claims1,309 services$21.22 avg. paid by Medicare

Dynamic adjustable knee extension / flexion device, includes soft interface material E1810

DME-Other DME · category DE000N

1 supplier18 claims18 services$78.39 avg. paid by Medicare

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833

DME-Orthotic Devices · category DF011N

1 supplier38 claims38 services$437.16 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 20

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

LAKE CHARLES MEDICAL SERVICES, INC

Internal Medicine

1717 OAK PARK BLVD
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 582-7632

DR. WILLIAM R CONDOS JR. M.D.

Internal Medicine (Cardiovascular Disease)

1717 OAK PARK BLVD, FL 2
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-3278

MRS. AMANDA JOINER SALTZMAN PHARMD

Pharmacist

1717 OAK PARK BLVD, SUITE 110
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-2990

MARGARET YOUNG CARTER M.D.

Ophthalmology

1717 OAK PARK BLVD, #1
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 478-3810

DR. JOHN M WINTERTON M.D.

Internal Medicine (Cardiovascular Disease)

1717 OAK PARK BLVD, SECOND FLOOR
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-3278

DR. HARPAL S BENIPAL M.D.

Internal Medicine

1717 OAK PARK BLVD, 3RD FL
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 475-8100

DR. DENNIS MARTIN WALKER M.D.

Orthopaedic Surgery

1717 OAK PARK BLVD, 3RD FLOOR
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 494-4941

STEVEN C. EAST O.D.

Optometrist

1717 OAK PARK BLVD, 1
LAKE CHARLES, LA 70601

Calcasieu Parish (337) 478-3810

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 Nathan Cohen's NPI number?

The NPI number for Nathan Cohen is 1285686774. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Nathan Cohen located?

Nathan Cohen practices at 1717 Oak Park Blvd 3rd Floor, Lake Charles, LA 70601. The listed phone number is (337) 494-4900.

What is Nathan Cohen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nathan Cohen enrolled in Medicare?

Yes. Nathan Cohen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nathan Cohen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Cohen reassigns Medicare benefits to Lake Charles Medical Services Orthopedics Associates LLC (Lake Charles, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Cohen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Cohen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Nathan Cohen 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 Nathan Cohen affiliated with any hospitals?

According to CMS data, Nathan Cohen is affiliated with Lake Charles Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Cohen was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.