Seth Koenig, M.D.
NPI 1255467783 · Pulmonary Disease Physician · Hauppauge, NY
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Seth Koenig, M.D. is a Pulmonary Disease Physician provider in Hauppauge, NY (NPI 1255467783).
Provider details
- NPI number
- 1255467783
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD17242 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,686 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) |
|---|---|---|
| Ultrasound Scan of Chest76604 | 986 | $65 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 657 | $145 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 649 | $205 |
| Test to Measure Rate of Airflow94375 | 553 | $45 |
| Test to Determine Lung Volumes Using Sensors94726 | 501 | $65 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 501 | $66 |
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 | 266 | 103 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 194 | 58 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 148 | 61 |
| Fluticasone Propionate | 103 | 50 |
| Furosemide | 58 | 24 |
| Pantoprazole Sodium | 58 | 18 |
| Budesonide/Glycopyr/Formoterol |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,866 across 73 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
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2023-01-20
- Certified
- 2023-01-17
Frequently asked questions
- What is Seth Koenig's NPI number?
- Seth Koenig's National Provider Identifier (NPI) is 1255467783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Seth Koenig's specialty?
- Seth Koenig is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Seth Koenig located?
- Seth Koenig's practice location on file with NPPES is 200 Motor Pkwy Ste C-16, Hauppauge, NY 11788-5114.
- What is Seth Koenig's phone number?
- The practice phone number listed in the NPPES registry for Seth Koenig is (631) 978-7633.
- Does Seth Koenig accept Medicare?
- Seth Koenig is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Seth Koenig's NPI active?
- Yes — Seth Koenig's NPI (1255467783) is active in the NPPES registry as of the last update on 2023-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.