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MATTHEW KYUNGSOO KOLLER MD
NPI 1457855033
Psychiatry & Neurology - Psychiatry in New York, NY

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
109 W 27TH ST STE 5S, NEW YORK, NY 10001(833) 351-8255 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Kyungsoo Koller Md NPPES

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

MATTHEW KYUNGSOO KOLLER MD (NPI 1457855033) is an individual psychiatry provider in New York, New York, licensed in Texas (T3650) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457855033
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMATTHEW KYUNGSOO KOLLERCredential: MD
Location Address109 W 27TH ST STE 5SNew York, NY 10001-0265
Mailing Address109 W 27th St Ste 5sNew York, NY 10001-0265 · (833) 351-8255
Phone(833) 351-8255
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1457855033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in TX · T3650✔ Licensed in UT · 13276397-1205✔ Licensed in NY · 316400
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
109 W 27TH ST STE 5S, New York, NY 10001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.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

Matthew Kyungsoo Koller Md 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 ID6507246451
PECOS Enrollment IDI20220708002711, I20230718000914
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 3

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
140 services20 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.
139 services17 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

HALLIE KNOPF MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (917) 634-5311
PETER TRUONG MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (917) 634-5311
DR. PAMELA CATHERINE SHAY DO
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (917) 634-5311
DR. ADEEB YACOUB M.D.
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (833) 351-8255
ROSHNI PANCHAL MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (917) 634-5311
DR. NINA SARAH JACOBS MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (833) 351-8255
KAITLYN NIEWIAROWICZ
Counselor (Mental Health)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (833) 351-8255
DR. DANIEL AZZOPARDI MD
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST STE 5S
NEW YORK, NY 10001
New York County (646) 687-2556

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 Matthew Koller's NPI number?

The NPI number for Matthew Koller is 1457855033. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Matthew Koller located?

Matthew Koller practices at 109 W 27th St Ste 5S, New York, NY 10001. The listed phone number is (833) 351-8255.

What is Matthew Koller's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Matthew Koller enrolled in Medicare?

Yes. Matthew Koller 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 Matthew Koller accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and UnitedHealthcare list Matthew Koller 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.

When was this NPI record last updated?

The NPPES record for Matthew Koller was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.