Active NPI 1003992926 Individual Practitioner Male Practitioner

Dr. Dimitri J Koumanis , MD

Plastic Surgery • Glens Falls, NY

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Dimitri Koumanis, MD is a registered Plastic Surgery practitioner in Glens Falls, NY. With approximately 29 years of clinical practice since completing medical education in 1997, Dr. Koumanis provides healthcare services at the registered practice location at 13 CHESTER STREET.

Dr. Koumanis accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13 Chester Street

Glens Falls, NY 128014432

Telephone 5182032593

Fax 5183140701

Associated Practice Facility / Clinic

🏢 Capital Area Plastic Surgery, Pllc Facility NPI 1124327341

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Glens Falls, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs Matches City Avg

City Avg: 29.0 Yrs

State Avg: 30.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Glens Falls, NY (476 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koumanis (29 Years) 29 Yrs

Glens Falls Specialty Average (29.0 Years) 29.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$251.00	$103.10
99213 Established patient office or other outpatient visit, typically 15 minutes	36	24	$195.95	$85.89
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	22	$917.00	$433.05
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	17	14	$690.00	$148.56
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	15	15	$963.00	$364.41
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	13	$779.00	$306.92
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	13	$850.00	$293.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$303.09	$107.08
99213 Established patient office or other outpatient visit, typically 15 minutes	26	21	$202.49	$86.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	28	$205.48	$88.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$385.57	$108.78
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$330.00	$70.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	40	$593.36	$89.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$1376.56	$164.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$885.57	$110.08
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$330.00	$71.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$605.48	$73.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$1376.56	$160.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	11	$605.48	$71.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$1376.56	$158.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	26	$399.92	$62.75
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$312.76	$70.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$297.07	$37.41

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NY 256948

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License NY 002733

A surgeon who specializes in plastic and reconstructive surgery.

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 25, 2016

Registered at 13 CHESTER STREET, GLENS FALLS, NY 128014432 (Tel: 5182032593)

📍

Updated Business Mailing Address February 25, 2016

Registered at 13 CHESTER STREET, GLENS FALLS, NY 128014432 (Tel: 5182032593)

👤

Provider Name / Credentials Updated February 25, 2016

Recorded as DIMITRI KOUMANIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2016

Plastic Surgery (License #256948 in NY)

🟢

Initial NPI Registration & Enumeration October 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Dimitri Koumanis. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1003992926

Entity Type:

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

Enumeration Date: October 31, 2006

Last Update: February 25, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

13 Chester Street

Glens Falls, NY 128014432

Phone: 5182032593

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.