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OLIVIA JEAN KOUKOULARIS PA-C
NPI 1952704561
Physician Assistant in New London, CT

Active since September 28, 2014PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
415 OCEAN AVE, NEW LONDON, CT 06320(860) 437-1100 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olivia Jean Koukoularis Pa-c NPPES

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

OLIVIA JEAN KOUKOULARIS PA-C (NPI 1952704561) is an individual physician assistant in New London, Connecticut, licensed in Connecticut (3202) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1952704561
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameOLIVIA JEAN KOUKOULARISCredential: PA-C
Location Address415 OCEAN AVENew London, CT 06320-4716
Mailing Address415 Ocean AveNew London, CT 06320-4716 · (860) 437-1100
Phone(860) 437-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 28, 2014
Last NPPES UpdateSeptember 11, 2015
✔ NPI 1952704561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CT · 3202✔ Licensed in RI · PA00783
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 3202 (CT)
415 OCEAN AVE, New London, CT 06320
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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

Olivia Jean Koukoularis Pa-c 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 ID3274855168
PECOS Enrollment IDI20141203002255
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
226 services216 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services99 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.15
Promoting Interoperability100
Improvement Activities40
Cost58.82

Other Providers at the Same Location NPPES 2

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

SHORELINE PULMONARY ASSOCIATES LLC
Specialist
415 OCEAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 437-1100
DR. JOSEPH OCONNELL M.D.
Specialist
415 OCEAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-7027

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 Olivia Koukoularis's NPI number?

The NPI number for Olivia Koukoularis is 1952704561. It was assigned to this individual provider in the NPPES registry on September 28, 2014.

Where is Olivia Koukoularis located?

Olivia Koukoularis practices at 415 Ocean Ave, New London, CT 06320. The listed phone number is (860) 437-1100.

What is Olivia Koukoularis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Olivia Koukoularis enrolled in Medicare?

Yes. Olivia Koukoularis 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.

When was this NPI record last updated?

The NPPES record for Olivia Koukoularis was last updated on September 11, 2015. 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.