MR. JAMES PETER KOREN MD
NPI 1952360430
Surgery in Plymouth, NH

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
84.7/100
CMS Quality Rating
16 HOSPITAL ROAD, SPEARE SURGICAL SERVICES, PLYMOUTH, NH 03264(603) 536-5670(603) 536-1544 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. James Peter Koren Md NPPES

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

MR. JAMES PETER KOREN MD (NPI 1952360430) is an individual surgery provider in Plymouth, New Hampshire, licensed in New Hampshire (13971) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Speare Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (1996).

NPPES Registry Identity

NPI1952360430
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. JAMES PETER KORENCredential: MD
Location Address16 HOSPITAL ROAD, SPEARE SURGICAL SERVICESPlymouth, NH 03264
Mailing AddressP.o. Box 706Plymouth, NH 03264-0706 · (603) 481-8757 · Fax (603) 238-2163
Fax(603) 536-1544
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1996
Enumeration DateMarch 22, 2006
Last NPPES UpdateOctober 20, 2015
NPI 1952360430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in NH · 13971 Licensed in PA · MD419656
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

16 HOSPITAL ROAD, Plymouth, NH 03264

Other Identifiers 11

Medicaid3072796NH
OtherAA126600Harvard Pilgrim
Medicare ID-Type Unspecified069338LNOPA
Medicare UPINH58195
Medicaid001950383PA
Other866601PA · Medicare Group #
Other1952360430United Healthcare
Medicare PIN000878001NH
Other0591457Cigna
Medicaid30208058NH
Medicaid1015430VT

Accepted Insurance

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

Mr. James Peter Koren Md 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 ID7517913387
PECOS Enrollment IDI20081229000162
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 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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
42 services33 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.
21 services20 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services15 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Speare Memorial Hospital

Critical Access Hospitals · Plymouth, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301311
Location16 Hospital RoadPlymouth, NH 03264 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03264 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

84.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability82
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Physician Assistant (Medical)
16 HOSPITAL ROAD, PLYMOUTH OB/GYN
PLYMOUTH, NH 03264
Surgery
16 HOSPITAL ROAD
PLYMOUTH, NH 03264
Dietitian, Registered
16 HOSPITAL ROAD, SPEARE MEMORIAL HOSPITAL, FOOD & NUTRITION SERVICES
PLYMOUTH, NH 03264
Obstetrics & Gynecology
16 HOSPITAL ROAD, PLYMOUTH OB/GYN
PLYMOUTH, NH 03264
Specialist
16 HOSPITAL ROAD, SPEARE SURGICAL SERVICES
PLYMOUTH, NH 03264
Emergency Medicine
16 HOSPITAL ROAD, EMERGENCY MEDICINE DEPARTMENT
PLYMOUTH, NH 03264
Emergency Medicine
16 HOSPITAL ROAD, EMERGENCY MEDICINE
PLYMOUTH, NH 03264
Emergency Medicine
16 HOSPITAL ROAD, EMERGENCY MEDICINE DEPARTMENT
PLYMOUTH, NH 03264

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 James Koren's NPI number?

The NPI number for James Koren is 1952360430. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is James Koren located?

James Koren practices at 16 Hospital Road Speare Surgical Services, Plymouth, NH 03264. The listed phone number is (603) 536-5670.

What is James Koren's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Koren enrolled in Medicare?

Yes. James Koren 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.

What insurance does James Koren accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list James Koren 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.

Is James Koren affiliated with any hospitals?

According to CMS data, James Koren is affiliated with Speare Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Koren was last updated on October 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.