Mary Koumas, D.O.
NPI 1306838909 · Family Medicine Physician · Lake Forest, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Koumas, D.O. is a Family Medicine Physician provider in Lake Forest, CA (NPI 1306838909).
Provider details
- NPI number
- 1306838909
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 20A4402 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
351 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 219 | $138 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 61 | $99 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 36 | $140 |
| Advance Care Planning, First 30 Minutes99497 | 24 | $86 |
| Administration of Influenza Virus VaccineG0008 | 11 | $27 |
Typical Medicare-allowed amounts for these services range $27–$140 (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 · 45 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 116 | 31 |
| Atorvastatin Calcium | 102 | 33 |
| Simvastatin | 65 | 18 |
| Losartan Potassium | 61 | 17 |
| Omeprazole | 45 | 13 |
| Metformin Hclbrand: Metformin Hcl Er | 41 | 13 |
| Potassium Chloride | 41 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-19
- Last updated
- 2008-12-09
Frequently asked questions
- What is Mary Koumas's NPI number?
- Mary Koumas's National Provider Identifier (NPI) is 1306838909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Koumas's specialty?
- Mary Koumas is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Koumas located?
- Mary Koumas's practice location on file with NPPES is 24401 Muirlands Blvd, Lake Forest, CA 92630-3948.
- What is Mary Koumas's phone number?
- The practice phone number listed in the NPPES registry for Mary Koumas is (949) 770-1950.
- Does Mary Koumas accept Medicare?
- Mary Koumas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Koumas's NPI active?
- Yes — Mary Koumas's NPI (1306838909) is active in the NPPES registry as of the last update on 2008-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.