Active NPI 1568725273 Individual Practitioner Male Practitioner

Dr. Jesse Cohen , MD

Internal Medicine • Sandy Hook, CT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jesse Cohen, MD is a certified Internal Medicine practicing in Sandy Hook, CT. With approximately 14 years of clinical experience since completing medical education in 2012, Dr. Cohen delivers high-quality medical care to the local community at 139 TODDY HILL RD.

Dr. Cohen is affiliated with Quotidian Health Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

139 Toddy Hill Rd

Sandy Hook, CT 064821362

Telephone 9144508632

Associated Practice Facility / Clinic

🏢 Athena Newtown Ct Llc Facility NPI 1518425057

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sandy Hook, CT

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs Matches City Avg

City Avg: 14.0 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Sandy Hook, CT (2753 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

46.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cohen (14 Years) 14 Yrs

Sandy Hook Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	863	357	$150.18	$80.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	515	268	$204.50	$115.66
99306 Initial nursing facility visit, typically 45 minutes per day	467	435	$362.88	$194.96
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	184	133	$202.70	$115.72
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	147	114	$150.62	$80.20
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	118	46	$130.00	$68.27
99497 Advance care planning, first 30 minutes	77	71	$173.64	$88.30
99306 Initial nursing facility visit, typically 45 minutes per day	71	69	$360.39	$195.21
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	54	46	$296.15	$164.82
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	50	42	$297.60	$164.59
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	47	44	$100.00	$52.43
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$280.00	$142.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	761	303	$148.00	$77.66
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	573	268	$198.00	$111.06
99306 Initial nursing facility visit, typically 45 minutes per day	398	349	$358.00	$189.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	276	196	$198.00	$111.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	139	119	$148.00	$77.74
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	137	99	$292.00	$159.68
99306 Initial nursing facility visit, typically 45 minutes per day	91	88	$358.00	$189.08
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	87	60	$292.00	$159.55
99497 Advance care planning, first 30 minutes	21	17	$184.00	$78.24
99497 Advance care planning, first 30 minutes	13	13	$184.00	$86.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	567	187	$148.00	$72.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	512	219	$198.00	$95.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	454	161	$198.00	$95.22
99306 Initial nursing facility visit, typically 45 minutes per day	428	369	$358.00	$172.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	286	166	$148.00	$72.30
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	136	98	$292.00	$139.93
99306 Initial nursing facility visit, typically 45 minutes per day	75	68	$358.00	$172.43
99336 Established patient assisted living visit, typically 40 minutes	58	11	$218.00	$141.03
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	57	39	$292.00	$140.06
99316 Nursing facility discharge management, more than 30 minutes	35	34	$228.00	$108.29
99497 Advance care planning, first 30 minutes	13	13	$184.00	$81.16
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	11	11	$280.00	$134.90
99315 Nursing facility discharge day management, 30 minutes or less	11	11	$158.00	$76.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	560	233	$198.00	$96.63
99306 Initial nursing facility visit, typically 45 minutes per day	484	436	$358.00	$175.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	438	158	$148.00	$73.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	340	159	$148.00	$73.28
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	291	116	$198.00	$96.66
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	62	32	$292.00	$143.17
99306 Initial nursing facility visit, typically 45 minutes per day	36	35	$358.00	$175.94
99315 Nursing facility discharge day management, 30 minutes or less	32	30	$158.00	$77.24
99497 Advance care planning, first 30 minutes	24	20	$184.00	$82.80
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	23	19	$292.00	$143.17
99497 Advance care planning, first 30 minutes	20	18	$184.00	$90.96
99316 Nursing facility discharge management, more than 30 minutes	19	19	$228.00	$111.08
99356 Prolonged inpatient or observation hospital service, first hour	16	14	$150.94	$96.56
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$280.00	$136.96
99358 Prolonged patient service without direct patient contact first hour	12	12	$180.00	$117.80
99318 Nursing facility annual assessment, typically 30 minutes	11	11	$206.00	$101.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	705	214	$198.00	$97.92
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	575	136	$198.00	$97.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	507	140	$148.00	$74.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	472	173	$148.00	$74.39
99306 Initial nursing facility visit, typically 45 minutes per day	341	302	$358.00	$178.85
99335 Established patient assisted living visit, typically 25 minutes	126	27	$154.00	$102.49
99306 Initial nursing facility visit, typically 45 minutes per day	114	103	$358.00	$178.88
99336 Established patient assisted living visit, typically 40 minutes	93	29	$218.00	$144.82
99497 Advance care planning, first 30 minutes	67	47	$184.00	$84.54
99497 Advance care planning, first 30 minutes	48	38	$184.00	$91.56
99316 Nursing facility discharge management, more than 30 minutes	41	40	$228.00	$113.02
99315 Nursing facility discharge day management, 30 minutes or less	25	25	$158.00	$79.06
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	22	19	$292.00	$144.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$252.00	$125.94
99327 New patient custodial care facility, group care, or assisted living visit, typically 1 hour	19	19	$300.00	$198.76
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	16	$280.00	$139.04
99315 Nursing facility discharge day management, 30 minutes or less	14	14	$158.00	$78.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	850	139	$179.79	$97.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	679	125	$144.44	$73.26
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	431	114	$198.00	$97.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	208	70	$148.00	$73.18
99306 Initial nursing facility visit, typically 45 minutes per day	176	144	$358.00	$176.50
99306 Initial nursing facility visit, typically 45 minutes per day	139	121	$329.25	$176.57
99316 Nursing facility discharge management, more than 30 minutes	46	45	$228.00	$112.08
99497 Advance care planning, first 30 minutes	45	31	$188.27	$90.19
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	30	20	$282.53	$143.97
99497 Advance care planning, first 30 minutes	19	16	$184.00	$83.63
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	14	11	$292.00	$143.92
99316 Nursing facility discharge management, more than 30 minutes	13	13	$164.62	$112.22
99315 Nursing facility discharge day management, 30 minutes or less	12	12	$158.00	$77.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	601	167	$125.00	$94.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	588	153	$125.00	$71.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	273	149	$182.05	$77.19
99306 Initial nursing facility visit, typically 45 minutes per day	207	175	$250.00	$171.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	89	87	$512.28	$215.17
99239 Hospital discharge day management, more than 30 minutes	73	69	$271.00	$114.63
99497 Advance care planning, first 30 minutes	62	46	$200.00	$87.31
99316 Nursing facility discharge management, more than 30 minutes	46	43	$125.00	$109.57
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	34	26	$155.00	$134.78
99238 Hospital discharge day management, 30 minutes or less	29	29	$179.61	$77.87
99315 Nursing facility discharge day management, 30 minutes or less	26	25	$120.00	$75.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$346.00	$145.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	17	$263.00	$110.46
99217 Hospital observation care on day of discharge	17	16	$182.02	$77.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	395	137	$125.00	$73.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	270	143	$185.05	$76.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	244	114	$125.00	$97.07
99306 Initial nursing facility visit, typically 45 minutes per day	190	162	$250.00	$176.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	120	117	$524.02	$211.03
99497 Advance care planning, first 30 minutes	78	64	$200.00	$86.54
99239 Hospital discharge day management, more than 30 minutes	72	66	$223.13	$114.14
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	64	37	$100.00	$47.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	57	56	$356.74	$145.00
99316 Nursing facility discharge management, more than 30 minutes	40	38	$125.00	$112.22
99238 Hospital discharge day management, 30 minutes or less	37	37	$151.97	$76.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	21	$266.15	$110.36
99291 Critical care, first 30-74 minutes	24	15	$590.23	$236.11
99217 Hospital observation care on day of discharge	24	23	$151.70	$74.18
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	24	24	$155.00	$138.12
99315 Nursing facility discharge day management, 30 minutes or less	23	23	$120.00	$77.77
99318 Nursing facility annual assessment, typically 30 minutes	18	18	$200.00	$102.97
99220 Hospital observation care, typically 70 minutes	17	17	$382.28	$196.52

Medical Specialties & State Licenses

CMS Verified: 2021-08-24

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 054407

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.

Hospital & Practice Group Affiliations

Quotidian Health Llc

139 Toddy Hill Rd, Sandy Hook, CT 064821362

Phone: 6073039318

Secondary Practice Locations

50 Hospital Hill Rd

Sharon, CT 060692096

Phone: 8603644000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Justine Kennan

Occupational Therapist

NPI 1003155953

Adrian Keating , COTA

Occupational Therapy Assistant

NPI 1134468002

Certified Occupational Therapy Assistant

Andrea Vignogna , PTA

Physical Therapy Assistant

NPI 1194064048

Physical Therapist Assistant

Lauren Storandt , OTR, L

Occupational Therapist - Gerontology

NPI 1235773805

Occupational Therapist Registered, L

Dr. Christopher Smith , DPT

Physical Therapist

NPI 1245579119

Doctor of Physical Therapy

Kathleen Carter

Occupational Therapist - Physical Rehabilitation

NPI 1699396564

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location August 26, 2021

Registered at 139 TODDY HILL RD, SANDY HOOK, CT 064821362 (Tel: 9144508632)

📍

Updated Business Mailing Address August 26, 2021

Registered at 33 DIXWELL AVE # 312, NEW HAVEN, CT 065113403

✅

NPI Profile Active December 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2016

Registered at 50 HOSPITAL HILL RD, SHARON, CT 060692096 (Tel: 8603644000)

📍

Updated Business Mailing Address December 03, 2016

Registered at 52 SENFF RD, WASHINGTON, CT 067931018 (Tel: 9144508632)

👤

Provider Name / Credentials Updated December 03, 2016

Recorded as JESSE COHEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2016

Internal Medicine (License #054407 in CT)

🟢

Initial NPI Registration & Enumeration June 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568725273

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 18, 2012

Last Update: August 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

33 Dixwell Ave # 312

New Haven, CT 065113403

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.