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DR. STELIOS ALFRED KOUTSOUMBELIS M.D.
NPI 1316258015
Orthopaedic Surgery in Plainview, NY

Active since June 28, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
651 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 681-8822 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stelios Alfred Koutsoumbelis M.d. NPPES

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

DR. STELIOS ALFRED KOUTSOUMBELIS M.D. (NPI 1316258015) is an individual orthopaedic surgery provider in Plainview, New York, licensed in New York (262962) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Northeastern Ohio University College Of Medicine (2010).

NPPES Registry Identity

NPI1316258015
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. STELIOS ALFRED KOUTSOUMBELISCredential: M.D.
Location Address651 OLD COUNTRY RDPlainview, NY 11803-4938
Mailing Address651 Old Country RdPlainview, NY 11803-4938 · (516) 681-8822
Phone(516) 681-8822
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2010
Enumeration DateJune 28, 2010
Last NPPES UpdateJuly 11, 2016
✔ NPI 1316258015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 262962
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.
651 OLD COUNTRY RD, Plainview, NY 11803
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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

Dr. Stelios Alfred Koutsoumbelis 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 ID2466750104
PECOS Enrollment IDI20160819001441
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 4

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.
78 services60 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
37 services11 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.
22 services20 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
100%112 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
33%773 patients2/55-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.

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.

DR. MITCHELL TODD KESCHNER MD
Orthopaedic Surgery
651 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 681-8822
BAY ORTHOPEDIC AND REHABILITATION SUPPLY COMPANY, INC
Prosthetic/Orthotic Supplier
651 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 333-7200
MISS FRENNY R MEHTA DPT
Specialist
651 OLD COUNTRY RD, STE 100
PLAINVIEW, NY 11803
Nassau County (516) 935-1958
LAUREN NICOLE WASSERMAN PT, DPT
Physical Therapist
651 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 886-5980
ARAJ SIDKI D.O.
Pain Medicine (Interventional Pain Medicine)
651 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 681-8822
LAURA KAMOR PT
Physical Therapist
651 OLD COUNTRY RD, SUITE 100
PLAINVIEW, NY 11803
Nassau County (516) 935-1958
BRIDGET WHALEN
Physician Assistant
651 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 681-8822
JONATHAN KORASON DPT
Physical Therapist
651 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 870-1429

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 Stelios Koutsoumbelis's NPI number?

The NPI number for Stelios Koutsoumbelis is 1316258015. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Where is Stelios Koutsoumbelis located?

Stelios Koutsoumbelis practices at 651 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 681-8822.

What is Stelios Koutsoumbelis's specialty?

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

Is Stelios Koutsoumbelis enrolled in Medicare?

Yes. Stelios Koutsoumbelis 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 Stelios Koutsoumbelis affiliated with any hospitals?

According to CMS data, Stelios Koutsoumbelis is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Stelios Koutsoumbelis was last updated on July 11, 2016. 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.