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DANIEL COLDREN M.D.
NPI 1952720583
Pathology - Anatomic Pathology & Clinical Pathology in Stony Brook, NY

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL/HOUSE STAFF SERVICES, STONY BROOK, NY 11794(631) 444-8413(631) 706-3002 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daniel Coldren M.d. NPPES

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

DANIEL COLDREN M.D. (NPI 1952720583) is an individual anatomic pathology & clinical pathology provider in Stony Brook, New York, licensed in North Carolina (2018-00005) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mclaren Flint, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1952720583
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDANIEL COLDRENCredential: M.D.
Location AddressSTONY BROOK UNIVERSITY HOSPITAL, MEDICAL/HOUSE STAFF SERVICESStony Brook, NY 11794-7097
Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255 · Fax (336) 716-3202
Phone(631) 444-8413
Fax(631) 706-3002
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateMay 14, 2018
✔ NPI 1952720583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in NC · 2018-00005
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
STONY BROOK UNIVERSITY HOSPITAL, Stony Brook, NY 11794
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.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

Daniel Coldren M.d. 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 ID7315292992
PECOS Enrollment IDI20241224000837
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 Coldren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mclaren Health Management Group
500 mi
Pain Medicine
1411 3RD ST STE C
Port Huron, MI 48060
  • Reassigned Medicare billing, Michigan enrollment
  • 45 clinicians in this Medicare group
NPI 1912072349 (800) 862-3132
Wake Forest University Health Sciences
510 mi
Multi-Specialty
MEDICAL CENTER BLVD
Winston Salem, NC 27157
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 clinicians in this Medicare group
NPI 1003803032 (336) 716-2255

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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
316 services191 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
136 services38 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
86 services34 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
72 services42 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
71 services30 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
44 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Mclaren Flint

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230141
Location401 S Ballenger HighwayFlint, MI 48532 · Genesee County
Emergency services Birthing friendly

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

DR. BENJAMIN RICHARD HODSON M.D.
Emergency Medicine
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T9
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
LUCAS JAMES MCARTHUR M.D.
Family Medicine
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
JEFF SEAN CHUANG MD
Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
MISS SARAH ROSE PESTIEAU M.D.
Internal Medicine
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF MEDICINE HSC-T16 020
STONY BROOK, NY 11794
Suffolk County (631) 444-1106
DR. ELAINE FOX M.D.
Student in an Organized Health Care Education/Training Program
STONY BROOK UNIVERSITY HOSPITAL, MEDICAL STAFF OFFICE T14
STONY BROOK, NY 11794
Suffolk County (631) 444-2754
DR. LAWRENCE WILLIAM KELLY JR. MD
Emergency Medicine
STONY BROOK UNIVERSITY HOSPITAL, DEPARTMENT OF EMERGENCY MEDICINE, HSC, L-4, ROOM 080
STONY BROOK, NY 11794
Suffolk County (631) 444-3880
MRS. SUZETTE CATHERINE SMOOKLER M.S., R.D., CDN
Dietitian, Registered
STONY BROOK UNIVERSITY HOSPITAL, NICOLLS ROAD, LEVEL 1 RM 747
STONY BROOK, NY 11794
Suffolk County (631) 444-7757
MRS. JANINE ELIZABETH ROMEO RPA-C
Physician Assistant
STONY BROOK UNIVERSITY HOSPITAL, 1 EDMUND PELLIGRINO DRIVE
STONY BROOK, NY 11794
Suffolk County (631) 444-1444

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 Coldren's NPI number?

The NPI number for Daniel Coldren is 1952720583. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Daniel Coldren located?

Daniel Coldren practices at Stony Brook University Hospital Medical/House Staff Services, Stony Brook, NY 11794. The listed phone number is (631) 444-8413.

What is Daniel Coldren's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Daniel Coldren enrolled in Medicare?

Yes. Daniel Coldren 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 Coldren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Coldren reassigns Medicare benefits to 2 organizations: Mclaren Health Management Group (Port Huron, MI) and Wake Forest University Health Sciences (Winston Salem, NC). 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 Coldren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Coldren accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Daniel Coldren 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 Daniel Coldren affiliated with any hospitals?

According to CMS data, Daniel Coldren is affiliated with Mclaren Flint, Mclaren Greater Lansing and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Coldren was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.