Nicholas Theodore Koen
Internal Medicine β’ Worcester, MA
55 Lake Ave N
Worcester, MA 016550002
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on April 3, 2020; this date does not establish years in practice.
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Published CMS data list 33 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Latanoprost β 21 prescription fills, including refills.
- Restasis (Cyclosporine) β 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table Β· Guide: How to read Medicare Part D prescriber data
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Fewer Part D prescriptions than 80% of clinicians listed under Internal Medicine in Worcester, MA (2024, 205 clinicians with data). Median for this group: 319. Middle half: 61 to 3,185.
Fewer Part D prescriptions than 85% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,672 clinicians with data). Median for this group: 1,174. Middle half: 129 to 3,740.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
Practice Location & Contact Primary Location
55 Lake Ave N
Worcester, MA 016550002
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
30-day fills
43 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$8,909 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers β by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019β2025.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Nicholas Koen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Nicholas Koen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Worcester and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 80% of clinicians listed under Internal Medicine in Worcester, MA (2024, 205 clinicians with data). Median for this group: 319. Middle half: 61 to 3,185.
Fewer Part D prescriptions than 85% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,672 clinicians with data). Median for this group: 1,174. Middle half: 129 to 3,740.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Internal Medicine in Worcester, MA (2024, 205 clinicians with data). Median for this group: $40,855. Middle half: $1,827 to $224,930.
A lower Part D drug cost than 75% of clinicians listed under Internal Medicine in Massachusetts (2024, 3,672 clinicians with data). Median for this group: $103,819. Middle half: $9,088 to $319,703.
448 active clinicians are listed under Internal Medicine with a practice address in Worcester, MA (6,830 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Worcester
16.3% of these 448 clinicians have the CMS telehealth indicator.
57.6% of these 448 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2024 only.
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30-day fills
CMS data for 30-day fills are available for 2024 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2024 only.
Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Latanoprost | Latanoprost | 21 | 845 | $129.25 | β |
| Restasis | Cyclosporine | 12 | 420 | $8,780.20 | β |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-12-05NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSORDER AND REFERRING ONLY - INTERNAL MEDICINE
I20220928000548
MA
3678959749
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Radiology - Diagnostic Radiology
Dermatology
Medical Genetics - Clinical Genetics (M.D.)
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 55 LAKE AVE N, WORCESTER, MA 016550002 (Tel: 9782238500)
Registered at 55 LAKE AVE N, WORCESTER, MA 016550002
Registered at 550 1ST AVE, NEW YORK, NY 100166402 (Tel: 9782238500)
Registered at 550 1ST AVE, NEW YORK, NY 100166402
NPI status registered as active in NPPES database
Registered at 222 RICHMOND ST, PROVIDENCE, RI 029034228 (Tel: 4018633330)
Registered at 222 RICHMOND ST, PROVIDENCE, RI 029034228
Recorded as NICHOLAS KOEN
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Worcester
- Dr. Ailie Tan, MD
- Dr. Saqib Chaudhary, MD
- Dr. Sevil Hemayat, MD
- Dr. Qingning Bian, MD
- Dr. Omer Chaudhary, MD
- Matthew Greenwood
Mailing Address
55 Lake Ave N
Worcester, MA 016550002