NPPES file of Aug 9, 2026

Seth Jason Koenig, M.D.

Pulmonary Disease Physician · Hauppauge, NY

Seth Jason Koenig, M.D. is a pulmonary disease physician with a practice address in Hauppauge, New York, and NPI 1255467783, issued on Feb 26, 2007. Check the license (New York 227330-1, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1255467783
Name
Seth Jason Koenig
Credential
M.D.
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License numbers
227330-1 NY
MD17242 RI
Self-reported in NPPES; status is on the state search
Practice location
200 Motor Pkwy Ste C-16, Hauppauge, NY 11788
Phone
(631) 978-7633
Enumerated
Feb 26, 2007
Record last updated
Jan 20, 2023
Fax
(631) 621-4115
Medicare enrollment
Enrolled (PECOS I20070723000384); accepts Medicare assignment
Medical or professional school
New York Medical College, 2000
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 200 Motor Pkwy Ste C-16

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jaclyn Abrahall, FNP-C, CDCESFamily Nurse Practitioner1972036333
  2. Yoori An, NPFamily Nurse Practitioner1114889003
  3. Anneliese Feige, NPAdult Health Nurse Practitioner1578402343
  4. Sanjay Galhotra, MDInternal Medicine Physician1124344411
  5. James Hess, DOEndocrinology, Diabetes & Metabolism Physician1124092747
  6. Joshua Miller, M.D., M.P.H.Endocrinology, Diabetes & Metabolism Physician1346400637

Verify Seth Jason Koenig in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 227330-1
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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6% more Medicare Part D claims than the average pulmonary disease physician in 2024

1,509 Medicare Part D claims for 276 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 38% of claims.

  1. Seth Koenig1,509
  2. Specialty average1,425

Most prescribed

  1. Prednisone266 claims
  2. Trelegy Ellipta194 claims
  3. Albuterol Sulfate Hfa148 claims
  4. Fluticasone Propionate103 claims
  5. Furosemide58 claims
  6. Pantoprazole Sodium58 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 98.5 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score82.9
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $1,866.18

73 payments; by number, the most common kind was food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Seth Koenig$1,866.18
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Stony Brook Internists University Faculty Practice CorporationStony Brook, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Seth Jason Koenig among 1,230 pulmonary disease physician records in New York

Seth Jason Koenig, M.D. is one of 1,230 pulmonary disease physician records with a practice address in New York. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 53% of them.

  • NPI issued2007 · 53% of these records are older, 37% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 77% of these records are
  • Graduated2000 · median 1999 among the 943 with a school on file
  • Record last updated2023 · 60% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in New York

There are 1,230 pulmonary disease physician records in New York.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Linda Efferen, MDHauppauge, NY 117881558431908
  2. Scott Capustin, M.D.Smithtown, NY 117871770517211
  3. Francis Dipalo, DOSmithtown, NY 117871538259965
  4. Avram Gold, M.D.Smithtown, NY 117871851326433
  5. Nadia Hasaneen, M.DSmithtown, NY 117871174790109
  6. Chelsey Malhas, MDSmithtown, NY 117871730708694
  7. Brian Margolis, MDSmithtown, NY 117871336156892
  8. Anthony Spadaro, M.D.Smithtown, NY 117871225065386

Common questions

What is Seth Jason Koenig, M.D.'s NPI number?

Seth Jason Koenig, M.D.'s National Provider Identifier (NPI) is 1255467783, issued on Feb 26, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Seth Jason Koenig, M.D. located?

The NPPES record lists a practice address at 200 Motor Pkwy Ste C-16, Hauppauge, NY, 11788. Phone: (631) 978-7633. Providers update this record themselves, so call before visiting.

How can I verify Seth Jason Koenig, M.D.'s license?

NPPES lists New York license number 227330-1, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Seth Jason Koenig, M.D. prescribe under Medicare Part D?

In 2024, Seth Jason Koenig, M.D. had 1,509 Medicare Part D claims for 276 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Seth Jason Koenig, M.D.'s MIPS final score?

The 2023 MIPS final score is 98.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.