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DR. EMERTH LANCE COBURN MD
NPI 1477544096
Family Medicine in Queens Village, NY

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
21401 110TH AVE, QUEENS VILLAGE, NY 11429(929) 615-6447(718) 276-4783 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Emerth Lance Coburn Md NPPES

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

DR. EMERTH LANCE COBURN MD (NPI 1477544096) is an individual family medicine provider in Queens Village, New York, licensed in New York (198832) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with White Plains Hospital Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1477544096
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EMERTH LANCE COBURNCredential: MD
Location Address21401 110TH AVEQueens Village, NY 11429-1906
Mailing Address214-01 110th AvenueQueens Village, NY 11429 · (718) 276-4482 · Fax (718) 276-4783
Phone(929) 615-6447
Fax(718) 276-4783
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 2, 2005
Last NPPES UpdateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1477544096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 198832
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 198832 (NY)
21401 110TH AVE, Queens Village, NY 11429
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Other Identifiers 1

Medicaid01617674NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Emerth Lance Coburn 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 ID8022088806
PECOS Enrollment IDI20040728001712
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Emerth Coburn reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fresh Meadows Physician Practice PLLC
2.2 mi
Internal Medicine
9131 175TH ST
Jamaica, NY 11432
  • Reassigned Medicare billing, New York enrollment
  • 68 clinicians in this Medicare group
NPI 1720775083 (718) 709-0940
Medical Services Of Northeastern Queens PLLC
2.2 mi
Internal Medicine
9131 175TH ST
Jamaica, NY 11432
  • Reassigned Medicare billing, New York enrollment
  • 61 clinicians in this Medicare group
NPI 1184311441 (718) 709-0940
Lagrangeville Medical PC
3.5 mi
Internal Medicine
71 FRANKLIN AVE
Franklin Square, NY 11010
  • Reassigned Medicare billing, New York enrollment
  • 45 clinicians in this Medicare group
NPI 1861153322 (212) 404-0362
Peyman Younesi MD PLLC
3.6 mi
Internal Medicine
6136 170TH ST APT M4
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New York enrollment
  • 193 clinicians in this Medicare group
NPI 1891053328 (718) 709-0940
Py Medical PLLC
12 mi
Pain Medicine
1160 TELLER AVE
Bronx, NY 10456
  • Reassigned Medicare billing, New York enrollment
  • 37 clinicians in this Medicare group
NPI 1043081524 (718) 709-0940
My Medical PC
31 mi
Family Medicine
612 CORPORATE WAY STE 2
Valley Cottage, NY 10989
  • Reassigned Medicare billing, New York enrollment
  • 137 clinicians in this Medicare group
NPI 1518637891 (718) 280-5436

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
478 services63 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
285 services48 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
143 services41 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.
62 services61 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.
39 services32 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
29 services16 patients

Hospital Affiliations CMS Care Compare

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

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11429 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Emerth Coburn's NPI number?

The NPI number for Emerth Coburn is 1477544096. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Emerth Coburn located?

Emerth Coburn practices at 21401 110th Ave, Queens Village, NY 11429. The listed phone number is (929) 615-6447.

What is Emerth Coburn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Emerth Coburn enrolled in Medicare?

Yes. Emerth Coburn 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.

Which organizations bill Medicare for Emerth Coburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emerth Coburn reassigns Medicare benefits to 6 organizations: Fresh Meadows Physician Practice PLLC (Jamaica, NY), Medical Services Of Northeastern Queens PLLC (Jamaica, NY), Lagrangeville Medical PC (Franklin Square, NY), Peyman Younesi MD PLLC (Fresh Meadows, NY), Py Medical PLLC (Bronx, NY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emerth Coburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Emerth Coburn affiliated with any hospitals?

According to CMS data, Emerth Coburn is affiliated with White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Emerth Coburn was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.