DR. KARL JOSEPH COUTINHO M.D.
NPI 1508181306
Urology in Livingston, NJ

Active since April 05, 2010PECOS EnrolledAccepts Medicare Assignment
200 S ORANGE AVE STE 295, LIVINGSTON, NJ 07039(201) 201-3456(201) 581-1001 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2026, Mar 9, 2022, Aug 8, 2016 (3 updates tracked since 2016).

About Dr. Karl Joseph Coutinho M.d. NPPES

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

DR. KARL JOSEPH COUTINHO M.D. (NPI 1508181306) is an individual urology provider in Livingston, New Jersey, licensed in New Jersey (25MA09890500) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and maintains a secondary practice location in Clifton.

NPPES Registry Identity

NPI1508181306
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. KARL JOSEPH COUTINHOCredential: M.D.
Location Address200 S ORANGE AVE STE 295Livingston, NJ 07039-5817
Mailing Address33 N Fullerton Ave Fl 3Montclair, NJ 07042-3644 · (201) 201-3456 · Fax (201) 581-1001
Fax(201) 581-1001
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 5, 2010
Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1508181306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NJ · 25MA09890500
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
200 S ORANGE AVE STE 295, Livingston, NJ 07039

Secondary Practice Location 1

Location 11373 Broad St Ste 311Clifton, NJ 07013-4200 · Phone (201) 201-3456 · Fax (201) 581-1001

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

Dr. Karl Joseph Coutinho 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 ID1254640774
PECOS Enrollment IDI20160913002021
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 14

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.
411 services290 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.
205 services169 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
158 services135 patients
Limited ultrasound scan behind abdominal cavity 76775
A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
73 services58 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
59 services55 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
47 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims4,250 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers15 claims3,570 services$1.56 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers20 claims4,710 services$5.81 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 8

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

Physician Assistant (Surgical)
200 S ORANGE AVE STE 295
LIVINGSTON, NJ 07039
Surgery (Plastic and Reconstructive Surgery)
200 S ORANGE AVE STE 295
LIVINGSTON, NJ 07039
Physician Assistant
200 S ORANGE AVE STE 295
LIVINGSTON, NJ 07039
Physician Assistant
200 S ORANGE AVE STE 295
LIVINGSTON, NJ 07039
Plastic Surgery
200 S ORANGE AVE STE 295
LIVINGSTON, NJ 07039
Plastic Surgery
200 S ORANGE AVE STE 295
LIVINGSTON, NJ 07039
Physician Assistant (Surgical)
200 S ORANGE AVE STE 295
LIVINGSTON, NJ 07039
Plastic Surgery
200 S ORANGE AVE STE 295
LIVINGSTON, NJ 07039

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 Karl Coutinho's NPI number?

The NPI number for Karl Coutinho is 1508181306. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Karl Coutinho located?

Karl Coutinho practices at 200 S Orange Ave Ste 295, Livingston, NJ 07039. The listed phone number is (201) 201-3456.

What is Karl Coutinho's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Karl Coutinho enrolled in Medicare?

Yes. Karl Coutinho 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 Karl Coutinho accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Karl Coutinho 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 Karl Coutinho affiliated with any hospitals?

According to CMS data, Karl Coutinho is affiliated with Cooperman Barnabas Medical Center and The University Hospital.

When was this NPI record last updated?

The NPPES record for Karl Coutinho was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.