MONICA JEAN COUGHLAN M.D.
NPI 1568993087
Orthopaedic Surgery in Burlingame, CA

Active since March 26, 2017PECOS EnrolledAccepts Medicare Assignment
84.92/100
CMS Quality Rating
1501 TROUSDALE DR, BURLINGAME, CA 94010(650) 652-8700 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2017, Mar 26, 2017 (2 updates tracked since 2017).

About Monica Jean Coughlan M.d. NPPES

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

MONICA JEAN COUGHLAN M.D. (NPI 1568993087) is an individual orthopaedic surgery provider in Burlingame, California, licensed in California (A159978) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1568993087
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameMONICA JEAN COUGHLANCredential: M.D.
Location Address1501 TROUSDALE DRBurlingame, CA 94010-4506
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 652-8700
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 26, 2017
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
NPI 1568993087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · A159978
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1501 TROUSDALE DR, Burlingame, CA 94010

Secondary Practice Location 1

Location 1500 Parnassus Ave, MU 320 WestSan Francisco, CA 94143-2203 · Phone (415) 476-6548

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

Monica Jean Coughlan 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 ID4688085202
PECOS Enrollment IDI20230920001962
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 17

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.
396 services227 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
248 services113 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.
129 services129 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
108 services69 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.
87 services72 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
67 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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.

84.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.98
Promoting Interoperability100
Improvement Activities40

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
1501 TROUSDALE DR, MILLS PENINSULA HOSPITAL
BURLINGAME, CA 94010
Internal Medicine
1501 TROUSDALE DR
BURLINGAME, CA 94010
Physician Assistant
1501 TROUSDALE DR, EMPLOYEE HEALTH
BURLINGAME, CA 94010
Physical Therapist
1501 TROUSDALE DR, SUITE 103
BURLINGAME, CA 94010
Internal Medicine
1501 TROUSDALE DR
BURLINGAME, CA 94010
Hospitalist
1501 TROUSDALE DR
BURLINGAME, CA 94010
Emergency Medicine
1501 TROUSDALE DR, EMERGENCY DEPARTMENT
BURLINGAME, CA 94010
Psychiatry & Neurology (Neurology)
1501 TROUSDALE DR, 4TH FLOOR
BURLINGAME, CA 94010

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 Monica Coughlan's NPI number?

The NPI number for Monica Coughlan is 1568993087. It was assigned to this individual provider in the NPPES registry on March 26, 2017.

Where is Monica Coughlan located?

Monica Coughlan practices at 1501 Trousdale Dr, Burlingame, CA 94010. The listed phone number is (650) 652-8700.

What is Monica Coughlan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Monica Coughlan enrolled in Medicare?

Yes. Monica Coughlan 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.

When was this NPI record last updated?

The NPPES record for Monica Coughlan was last updated on September 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.