DR. JOHN G KOUTRAS M.D.
NPI 1528154697
Psychiatry & Neurology - Psychiatry in Burlington, VT

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
1 S PROSPECT ST, BURLINGTON, VT 05401(802) 847-4560(802) 847-8747 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John G Koutras M.d. NPPES

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

DR. JOHN G KOUTRAS M.D. (NPI 1528154697) is an individual psychiatry provider in Burlington, Vermont, licensed in Vermont (042.0010844) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Albany Medical College Of Union University (1995).

NPPES Registry Identity

NPI1528154697
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHN G KOUTRASCredential: M.D.
Location Address1 S PROSPECT STBurlington, VT 05401-3456
Mailing Address71 Elk LnWilliston, VT 05495-4412 · (802) 878-2383
Fax(802) 847-8747
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1995
Enumeration DateOctober 5, 2006
Last NPPES UpdateJune 20, 2025
NPPES CertifiedJune 20, 2025
✔ NPI 1528154697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in VT · 042.0010844
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.
1 S PROSPECT ST, Burlington, VT 05401

Other Identifiers 2

Medicaid1010931VT
Medicaid02657289VT

Accepted Insurance

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. John G Koutras 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 ID2062496110
PECOS Enrollment IDI20041105000733
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

2

Medicare enrollment records show John Koutras reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
Internal Medicine
130 FISHER RD
Berlin, VT 05602
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1023028784 (Vermont)
  • 183 clinicians in this Medicare group

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
152 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
35 services13 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

Internal Medicine
1 S PROSPECT ST
BURLINGTON, VT 05401
Dietitian, Registered (Nutrition, Renal)
1 S PROSPECT ST, UHC ARNOLD 2318, RENAL CLINIC
BURLINGTON, VT 05401
Psychiatry & Neurology (Neurology)
1 S PROSPECT ST
BURLINGTON, VT 05401
Social Worker (Clinical)
1 S PROSPECT ST
BURLINGTON, VT 05401
Pediatrics
1 S PROSPECT ST
BURLINGTON, VT 05401
Counselor
1 S PROSPECT ST
BURLINGTON, VT 05401
Pharmacist
1 S PROSPECT ST
BURLINGTON, VT 05401
Psychiatry & Neurology (Neurology)
1 S PROSPECT ST
BURLINGTON, VT 05401

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 John Koutras's NPI number?

The NPI number for John Koutras is 1528154697. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is John Koutras located?

John Koutras practices at 1 S Prospect St, Burlington, VT 05401. The listed phone number is (802) 847-4560.

What is John Koutras's specialty?

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

Is John Koutras enrolled in Medicare?

Yes. John Koutras 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 John Koutras's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Koutras reassigns Medicare benefits to 2 organizations: University Of Vermont Medical Center Inc (Burlington, VT) and Central Vermont Medical Center Inc (Berlin, VT). 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 John Koutras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Koutras accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list John Koutras 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 John Koutras affiliated with any hospitals?

According to CMS data, John Koutras is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for John Koutras was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.