Kristaq Koci
NPI 1215386859 · Rheumatology Physician · New York, NY
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristaq Koci is a Rheumatology Physician provider in New York, NY (NPI 1215386859).
Provider details
- NPI number
- 1215386859
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
293 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 119 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 110 | $141 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 44 | $184 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 20 | $101 |
Typical Medicare-allowed amounts for these services range $9–$184 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 221 | 67 |
| Methotrexate Sodiumbrand: Methotrexate | 147 | 34 |
| Allopurinol | 104 | 24 |
| Hydroxychloroquine Sulfate | 74 | 30 |
| Gabapentin | 64 | 19 |
| Sulfasalazine | 59 | 16 |
| Pregabalin | 56 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$85 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 450 Clarkson AveBrooklyn, NY 11203-2012Phone: (718) 270-1000
- 1000 10th AveNew York, NY 10019-1147Phone: (212) 523-4000
- 1111 Amsterdam AveNew York, NY 10025-1716Phone: (212) 523-4000
Registry dates
- Enumerated
- 2016-06-04
- Last updated
- 2021-06-29
- Certified
- 2021-06-28
Frequently asked questions
- What is Kristaq Koci's NPI number?
- Kristaq Koci's National Provider Identifier (NPI) is 1215386859, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristaq Koci's specialty?
- Kristaq Koci is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Kristaq Koci located?
- Kristaq Koci's practice location on file with NPPES is 425 W 59th St, New York, NY 10019-8022.
- What is Kristaq Koci's phone number?
- The practice phone number listed in the NPPES registry for Kristaq Koci is (212) 523-5900.
- Does Kristaq Koci accept Medicare?
- Kristaq Koci is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristaq Koci's NPI active?
- Yes — Kristaq Koci's NPI (1215386859) is active in the NPPES registry as of the last update on 2021-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.