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

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: July 26, 2026.

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

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
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

Other Identifiers 1

Medicaid1326127LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

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
Quality73.25
Improvement Activities40
Cost18.59

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.

Internal Medicine
1717 OAK PARK BLVD
LAKE CHARLES, LA 70601
Internal Medicine (Cardiovascular Disease)
1717 OAK PARK BLVD, FL 2
LAKE CHARLES, LA 70601
Pharmacist
1717 OAK PARK BLVD, SUITE 110
LAKE CHARLES, LA 70601
Ophthalmology
1717 OAK PARK BLVD, #1
LAKE CHARLES, LA 70601
Internal Medicine (Cardiovascular Disease)
1717 OAK PARK BLVD, SECOND FLOOR
LAKE CHARLES, LA 70601
Internal Medicine
1717 OAK PARK BLVD, 3RD FL
LAKE CHARLES, LA 70601
Orthopaedic Surgery
1717 OAK PARK BLVD, 3RD FLOOR
LAKE CHARLES, LA 70601
Optometrist
1717 OAK PARK BLVD, 1
LAKE CHARLES, LA 70601

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.

What insurance does Nathan Cohen accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 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 with the weekly NPPES data releases published by CMS.