DR. JASON EVERETT KOOCH D.O.
NPI 1902804347
Physical Medicine & Rehabilitation - Pain Medicine in Syosset, NY

Q: What is Jason Kooch's NPI number?

The NPI number for Jason Kooch is 1902804347. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Q: What is Jason Kooch's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Jason Kooch was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment

115 EILEEN WAY, SYOSSET, NY 11791(516) 795-3033 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Jason Everett Kooch D.o. NPPES

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

DR. JASON EVERETT KOOCH D.O. (NPI 1902804347) is an individual pain medicine provider in Syosset, New York, licensed in New York (326507) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1902804347

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameDR. JASON EVERETT KOOCHCredential: D.O.

Location Address115 EILEEN WAYSyosset, NY 11791-5323

Mailing Address115 Eileen WaySyosset, NY 11791-5323 · (516) 795-3033 · Fax (516) 795-3036

Phone(516) 795-3033

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJuly 11, 2005

Last NPPES UpdateMay 13, 2025

NPPES CertifiedMay 13, 2025

✔ NPI 1902804347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in NY · 326507

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License OS013001 (PA)

115 EILEEN WAY, Syosset, NY 11791

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Other Identifiers 16

Other50044478Keystone Health Central

Other6432850Cigna Healthcare

Other2170526Mamsi

Other2299715000Independence Blue Cross

Other50044478Capital Blue Cross

Other2299715000Amerihealth

Other397414Health America/health Ass

Other821131First Priority Health

Other1622793Highmark Blue Shield

Other2299715000Keystone Health East

Other7466584Aetna Ppo

Other90338Geisinger Health Plan

OtherP3356842Oxford Health Plans

Medicaid1011608520001PA

Other2458473United Healthcare

OtherP00230776Railroad Medicare

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. Jason Everett Kooch 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 ID1850361841

PECOS Enrollment IDI20230622001783

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

Medicare enrollment records show Jason Kooch reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hudson Spine And Pain Medicine, PC

26 mi

Pain

281 BROADWAY, 2ND FLOOR
New York, NY 10007

Reassigned Medicare billing, New York enrollment
22 clinicians in this Medicare group

NPI 1639418858 (646) 596-7386

Peak Medical & Wellness Centers LLC

30 mi

Pain Medicine

205 ROBIN RD STE 118
Paramus, NJ 07652

Reassigned Medicare billing, New Jersey enrollment
9 clinicians in this Medicare group

NPI 1336994383 (201) 225-1511

Orthopaedics Spine And Sports Medicine LLC

32 mi

Orthopaedic Surgery of the Spine

16 E 29TH ST FL 2
Bayonne, NJ 07002

Reassigned Medicare billing, New Jersey enrollment
4 clinicians in this Medicare group

NPI 1154030328 (201) 971-7070

Total Orthopedics Spine And Sports Medicine Nj LLC

32 mi

Orthopaedic Surgery

16 E 29TH ST
Bayonne, NJ 07002

Reassigned Medicare billing, New Jersey enrollment
4 clinicians in this Medicare group

NPI 1851142467 (855) 321-6784

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 7

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.

310 services100 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

133 services61 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.

67 services67 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

64 services60 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

57 services40 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.

27 services19 patients

Other Providers at the Same Location NPPES 13

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

DR. PAMELA B WASSERMAN PSYD

Psychologist (Clinical)

115 EILEEN WAY
SYOSSET, NY 11791

Nassau County (516) 695-9814

NORA ANN BOLIN ATC, PTA

Specialist/Technologist (Athletic Trainer)

115 EILEEN WAY
SYOSSET, NY 11791

Nassau County (516) 622-9797

ORTHOPAEDICS SPINE AND SPORTS MEDICINE, LLC

Durable Medical Equipment & Medical Supplies

115 EILEEN WAY
SYOSSET, NY 11791

Nassau County (516) 795-3033

MITCHELL LONG DO

Orthopaedic Surgery

115 EILEEN WAY
SYOSSET, NY 11791

Nassau County (855) 321-6784

MS. MEGAN KLEIN PA

Physician Assistant

115 EILEEN WAY
SYOSSET, NY 11791

Nassau County (917) 968-2130

DR. ROBERT WILLIAM BORZONE DC, LAC

Chiropractor

115 EILEEN WAY, SUITE 107
SYOSSET, NY 11791

Nassau County (516) 802-4500

DOMINIC SOFIA PT

Physical Therapist

115 EILEEN WAY
SYOSSET, NY 11791

Nassau County (516) 622-9797

ORTHOPAEDICS SPINE AND SPORTS MEDICINE LLC

Orthopaedic Surgery

115 EILEEN WAY
SYOSSET, NY 11791

Nassau County (516) 795-0333

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 Jason Kooch's NPI number?

The NPI number for Jason Kooch is 1902804347. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Jason Kooch located?

Jason Kooch practices at 115 Eileen Way, Syosset, NY 11791. The listed phone number is (516) 795-3033.

What is Jason Kooch's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Jason Kooch enrolled in Medicare?

Yes. Jason Kooch 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 Jason Kooch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Kooch reassigns Medicare benefits to 4 organizations: Hudson Spine And Pain Medicine, PC (New York, NY), Peak Medical & Wellness Centers LLC (Paramus, NJ), Orthopaedics Spine And Sports Medicine LLC (Bayonne, NJ) and Total Orthopedics Spine And Sports Medicine Nj LLC (Bayonne, NJ). 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 Jason Kooch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Kooch was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.