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JOHN ERIC KOELLA M.D.
NPI 1942275771
Family Medicine in St Johnsbury, VT

Active since February 23, 2006PECOS Enrolled
1315 HOSPITAL DR, NORTHEASTERN VT REGIONAL HOSPITAL, ST JOHNSBURY, VT 05819(802) 748-8141(802) 748-4098 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Eric Koella M.d. NPPES

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

JOHN ERIC KOELLA M.D. (NPI 1942275771) is an individual family medicine provider in St Johnsbury, Vermont, licensed in Vermont (042-0013372) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942275771
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN ERIC KOELLACredential: M.D.
Location Address1315 HOSPITAL DR, NORTHEASTERN VT REGIONAL HOSPITALSt Johnsbury, VT 05819-9210
Mailing AddressPo Box 905, Northeastern Vt Regional HospitalSt Johnsbury, VT 05819-0905 · (802) 748-8141 · Fax (802) 748-4098
Phone(802) 748-8141
Fax(802) 748-4098
Sole ProprietorNo
Enumeration DateFebruary 23, 2006
Last NPPES UpdateFebruary 25, 2016
✔ NPI 1942275771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VT · 042-0013372✔ Licensed in NY · 200876
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.
1315 HOSPITAL DR, St Johnsbury, VT 05819
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Other Identifiers 11

Medicare UPINF93930NY
Other040426007236NY · Fidelis
Medicaid01592667NY
Other9X3071NY · Empire Blue Cross
Other10020809NY · Cdphp
Other5968600NY · Aetna
Other000401661005NY · Blue Shield
Other43790NY · Ghi Hmo
Other000000042317NY · Ghi
Other958301NY · Mvp
Medicare UPINCC2058NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Eric Koella M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show John Koella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gifford Medical Center Inc.
49 mi
General Acute Care Hospital
44 S MAIN ST
Randolph, VT 05060
  • Reassigned Medicare billing, Vermont enrollment
  • 167 clinicians in this Medicare group
NPI 1942329446 (802) 728-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05819 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%90 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KATHERINE A. HARRIS LICSW
Social Worker (Clinical)
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-7300
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC
General Acute Care Hospital (Critical Access)
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-8141
REBECCA S BARSKI CRNA
Nurse Anesthetist, Certified Registered
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-8141
ANEA LELONG CNM
Advanced Practice Midwife
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-8141
NORTHEASTERN VERMONT REGIONAL HOSPITAL, INC
Medicare Defined Swing Bed Unit
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-8141
SARAH GRYCZA MD
Pediatrics
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-7424
CY ANNE CEDAR MD
Family Medicine
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-8141
JENNIFER K WININGS PA-C
Physician Assistant (Surgical)
1315 HOSPITAL DR
ST JOHNSBURY, VT 05819
Caledonia County (802) 748-8141

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 Koella's NPI number?

The NPI number for John Koella is 1942275771. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is John Koella located?

John Koella practices at 1315 Hospital Dr Northeastern Vt Regional Hospital, St Johnsbury, VT 05819. The listed phone number is (802) 748-8141.

What is John Koella's specialty?

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

Is John Koella enrolled in Medicare?

Yes. John Koella is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Koella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Koella reassigns Medicare benefits to Gifford Medical Center Inc. (Randolph, VT). The 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 Koella'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 John Koella was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.