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DR. FOTIOS KOUMPOURAS M. D.
NPI 1316982218
Internal Medicine - Rheumatology in North Haven, CT

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
6 DEVINE ST, SUITE 2B, NORTH HAVEN, CT 06473(203) 737-5430(203) 785-7053 Get Directions Write a Review

NPPES record last updated: June 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fotios Koumpouras M. D. NPPES

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

DR. FOTIOS KOUMPOURAS M. D. (NPI 1316982218) is an individual rheumatology provider in North Haven, Connecticut, licensed in Connecticut (042299) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1316982218
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. FOTIOS KOUMPOURASCredential: M. D.
Location Address6 DEVINE ST, SUITE 2BNorth Haven, CT 06473-2195
Mailing Address6 Devine St, Suite 2bNorth Haven, CT 06473-2195 · (203) 737-5430 · Fax (203) 785-7053
Phone(203) 737-5430
Fax(203) 785-7053
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 17, 2006
Last NPPES UpdateJune 30, 2015
✔ NPI 1316982218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in CT · 042299✔ Licensed in PA · MD431644
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 230675 (NY)
6 DEVINE ST, North Haven, CT 06473
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN111184PL2PA
Medicare UPINI48820CT
Medicaid1019099240003PA

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. Fotios Koumpouras 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 ID5698789600
PECOS Enrollment IDI20150928001827
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 2

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 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.
119 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06473 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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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. SCOTT BOURRET
Pharmacist (Oncology)
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6222
DR. JHEISON GIRALDO MD
Student in an Organized Health Care Education/Training Program
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6200
ERICA STEVENS
Nurse Practitioner (Family)
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 407-8002
ALEXANDER ROBERT GHINCEA MD
Internal Medicine (Pulmonary Disease)
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 495-2410
GABRIELA RESTO
Pharmacist
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 230-3940
ALBERT WU
Student in an Organized Health Care Education/Training Program
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6200
DR. JUNGHEE JENNY SHIN M.D.,PH.D
Allergy & Immunology
6 DEVINE ST
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6200
DR. ERIN LONGBRAKE MD
Psychiatry & Neurology (Neurology)
6 DEVINE ST, SUITE 2B
NORTH HAVEN, CT 06473
South Central Connecticut Planning Region (203) 287-6100

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 Fotios Koumpouras's NPI number?

The NPI number for Fotios Koumpouras is 1316982218. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Fotios Koumpouras located?

Fotios Koumpouras practices at 6 Devine St Suite 2B, North Haven, CT 06473. The listed phone number is (203) 737-5430.

What is Fotios Koumpouras's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Fotios Koumpouras enrolled in Medicare?

Yes. Fotios Koumpouras 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.

When was this NPI record last updated?

The NPPES record for Fotios Koumpouras was last updated on June 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.