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DANIEL ADAM COHEN M.D.
NPI 1740638931
Family Medicine - Sports Medicine in Orwigsburg, PA

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1165 CENTRE TURPIKE, ORWIGSBURG, PA 17961(272) 639-5130(272) 639-5152 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Daniel Adam Cohen M.d. NPPES

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

DANIEL ADAM COHEN M.D. (NPI 1740638931) is an individual sports medicine provider in Orwigsburg, Pennsylvania, licensed in Pennsylvania (MD468244) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and maintains a secondary practice location in Kutztown.

NPPES Registry Identity

NPI1740638931
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDANIEL ADAM COHENCredential: M.D.
Location Address1165 CENTRE TURPIKEOrwigsburg, PA 17961
Mailing Address75 W Red Bank AveWoodbury, NJ 08096-1694 · (856) 853-2055 · Fax (856) 848-2879
Phone(272) 639-5130
Fax(272) 639-5152
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 27, 2016
Last NPPES UpdateJanuary 4, 2024
NPPES CertifiedJanuary 3, 2024
✔ NPI 1740638931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PA · MD468244
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1165 CENTRE TURPIKE, Orwigsburg, PA 17961
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Secondary Practice Location 1

Location 115065 Kutztown RdKutztown, PA 19530-9220 · Phone (484) 526-1735 · Fax (833) 705-2603

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

Daniel Adam Cohen 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 ID7416295365
PECOS Enrollment IDI20200629001983
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 Daniel Cohen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gslpg, Inc
0.3 mi
Specialist
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 953 clinicians in this Medicare group
NPI 1366006702 (272) 639-1000
St Luke's Physician Group Inc
1.4 mi
Family Medicine
1165 CENTRE TPKE FL 2
Orwigsburg, PA 17961
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1710845144 (272) 639-5040

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 8

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,320 services18 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
580 services88 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.
139 services92 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
135 services85 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.
61 services61 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.
60 services60 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17961 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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 Daniel Cohen's NPI number?

The NPI number for Daniel Cohen is 1740638931. It was assigned to this individual provider in the NPPES registry on May 27, 2016.

Where is Daniel Cohen located?

Daniel Cohen practices at 1165 Centre Turpike, Orwigsburg, PA 17961. The listed phone number is (272) 639-5130.

What is Daniel Cohen's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Daniel Cohen enrolled in Medicare?

Yes. Daniel Cohen 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 Daniel Cohen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Cohen reassigns Medicare benefits to 2 organizations: Gslpg, Inc (Orwigsburg, PA) and St Luke's Physician Group Inc (Orwigsburg, PA). 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 Daniel Cohen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Daniel Cohen affiliated with any hospitals?

According to CMS data, Daniel Cohen is affiliated with St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital, Geisinger St. Luke's Hospital and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for Daniel Cohen was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.