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DR. DANIEL KOGAN D.O.
NPI 1821664129
Family Medicine in Philadelphia, PA

Active since May 28, 2021PECOS EnrolledAccepts Medicare Assignment
80.62/100
CMS Quality Rating
15200 BUSTLETON AVE, PHILADELPHIA, PA 19116(215) 376-3339(877) 349-8376 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2024, May 1, 2023, Oct 19, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Daniel Kogan D.o. NPPES

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

DR. DANIEL KOGAN D.O. (NPI 1821664129) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS022480) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1821664129
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANIEL KOGANCredential: D.O.
Location Address15200 BUSTLETON AVEPhiladelphia, PA 19116-1196
Mailing Address352 2nd Street Pike # 180Southampton, PA 18966-3834 · (215) 376-3339 · Fax (877) 349-8376
Phone(215) 376-3339
Fax(877) 349-8376
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2021
Enumeration DateMay 28, 2021
Last NPPES UpdateJune 18, 20244 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1821664129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS022480
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.
15200 BUSTLETON AVE, Philadelphia, PA 19116
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Daniel Kogan D.o. 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 ID9830594548
PECOS Enrollment IDI20230512001507
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 Kogan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medex Urgent Care LLC
Same address
Urgent Care
15200 BUSTLETON AVE STE 4
Philadelphia, PA 19116
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4 clinicians in this Medicare group
NPI 1629855648 (215) 376-3339
Patient First Pennsylvania Medical Group PLLC
15 mi
Family Medicine
713 BETHLEHEM PIKE
Montgomeryville, PA 18936
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 105 clinicians in this Medicare group
NPI 1568712677 (804) 968-5700

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 5

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.

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.
126 services126 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.
34 services28 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
19 services19 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19116 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

80.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.06
Promoting Interoperability80
Improvement Activities40
Cost63.03

Other Providers at the Same Location NPPES

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

JEANES RADIOLOGY ASSOCIATES
Specialist
15200 BUSTLETON AVE, COUNTY LINE PLAZA
PHILADELPHIA, PA 19116
Philadelphia County (215) 676-6500

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 Kogan's NPI number?

The NPI number for Daniel Kogan is 1821664129. It was assigned to this individual provider in the NPPES registry on May 28, 2021.

Where is Daniel Kogan located?

Daniel Kogan practices at 15200 Bustleton Ave, Philadelphia, PA 19116. The listed phone number is (215) 376-3339.

What is Daniel Kogan's specialty?

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

Is Daniel Kogan enrolled in Medicare?

Yes. Daniel Kogan 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 Kogan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Kogan reassigns Medicare benefits to 2 organizations: Medex Urgent Care LLC (Philadelphia, PA) and Patient First Pennsylvania Medical Group PLLC (Montgomeryville, 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 Kogan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Kogan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Daniel Kogan 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.

When was this NPI record last updated?

The NPPES record for Daniel Kogan was last updated on June 18, 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.