MEGAN JEANNE COTNER
NPI 1407465636
Nurse Practitioner in Troy, OH

Active since July 23, 2020PECOS EnrolledAccepts Medicare Assignment
90.54/100
CMS Quality Rating
3006 N COUNTY ROAD 25A, TROY, OH 45373(207) 593-7335 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Megan Jeanne Cotner NPPES

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

MEGAN JEANNE COTNER (NPI 1407465636) is an individual nurse practitioner in Troy, Ohio, licensed in Ohio (APRN.CNP.0026819) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1407465636
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMEGAN JEANNE COTNER
Location Address3006 N COUNTY ROAD 25ATroy, OH 45373-1373
Mailing Address9661 Boyer RdVersailles, OH 45380-9506 · (937) 670-2257
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2020
Enumeration DateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
NPI 1407465636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APRN.CNP.0026819
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3006 N COUNTY ROAD 25A, Troy, OH 45373

Secondary Practice Location 1

Location 1707 S Edwin C Moses BlvdDayton, OH 45417-3462 · Phone (937) 335-2075

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 and accepts Medicare assignment

Megan Jeanne Cotner 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 ID5395159099
PECOS Enrollment IDI20210120001873
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.
136 services119 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.
61 services61 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
38 services19 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
34 services31 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
20 services20 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Promoting Interoperability100
Improvement Activities40
Cost87.75

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.79 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$59.38 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 10

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

Internal Medicine (Cardiovascular Disease)
3006 N COUNTY ROAD 25A, SUITE 104
TROY, OH 45373
Clinic/Center (Medical Specialty)
3006 N COUNTY ROAD 25A, STE 104
TROY, OH 45373
Nurse Practitioner (Family)
3006 N COUNTY ROAD 25A, SUITE 101
TROY, OH 45373
Internal Medicine (Critical Care Medicine)
3006 N COUNTY ROAD 25A, STE 102
TROY, OH 45373
Internal Medicine
3006 N COUNTY ROAD 25A, 101
TROY, OH 45373
Nurse Practitioner (Family)
3006 N COUNTY ROAD 25A
TROY, OH 45373
Internal Medicine (Interventional Cardiology)
3006 N COUNTY ROAD 25A, SUITE 104
TROY, OH 45373
Physician Assistant (Medical)
3006 N COUNTY ROAD 25A, STE 104
TROY, OH 45373

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 Megan Cotner's NPI number?

The NPI number for Megan Cotner is 1407465636. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Megan Cotner located?

Megan Cotner practices at 3006 N County Road 25A, Troy, OH 45373. The listed phone number is (207) 593-7335.

What is Megan Cotner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Megan Cotner enrolled in Medicare?

Yes. Megan Cotner 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.

What insurance does Megan Cotner accept?

Health plans from CareSource and Molina Healthcare list Megan Cotner 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 Megan Cotner affiliated with any hospitals?

According to CMS data, Megan Cotner is affiliated with Wilson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Megan Cotner was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.