Doctor profile · Federal record
Dr. Dimitrios Koudoumas, M.D., PH.D
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (CMS: Thoracic Surgery) · Great Falls, MT
- NPI 1639456767
- Accepts Medicare
- MIPS 80.5 / 100 · 2023
- 20 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1101 26Th St S
Great Falls, MT 594055161
(406) 731-8888
fax (406) 731-8876
Credentials & registration
- NPI registered
- November 2011 — 15 yrs on file
- Profile last updated
- April 8, 2024
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 208G00000X — NUCC code
- State license (1)
- Montana #118900
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639456767. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
396
Distinct HCPCS
9
Medicare allowed
$27,178
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 91 | 27 | $31 | |
G0316 |
Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 75 | 26 | $30 | |
G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 65 | 18 | $32 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 53 | 31 | $117 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 32 | 29 | $174 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 30 | 30 | $177 | |
76937 |
Ultrasonic guidance for blood vessel access | 20 | 14 | $14 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 17 | 14 | $143 | |
99152 |
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 13 | 11 | $13 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 44. This provider delivers 9.0× the peer median.Open Payments
Industry payments received
All-time total
$1,974
Transactions
46
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| W. L. Gore & Associates, Inc. | 14 | $507.63 | |
| ABIOMED | 8 | $376.28 | |
| Bolton Medical Inc | 3 | $268.10 | |
| ASAHI INTECC USA, INC. | 4 | $189.48 | |
| ShockWave Medical, Inc | 3 | $133.05 | |
| Sioux Surgical Inc | 2 | $103.42 | |
| Abbott Laboratories | 2 | $103.29 | |
| Medtronic, Inc. | 1 | $92.80 | |
| Edwards Lifesciences Corporation | 2 | $49.76 | |
| Baxter Healthcare | 1 | $45.60 | |
| Kiniksa Pharmaceuticals International, plc | 2 | $34.80 | |
| Novartis Pharmaceuticals Corporation | 1 | $21.85 | |
| Daiichi Sankyo Inc. | 1 | $18.53 | |
| Amgen Inc. | 1 | $15.38 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $14.43 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
64
Patients
29
Total drug cost
$936
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 42 | 13 | $566 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 22 | 16 | $370 |
Hospital affiliations
Frequently asked questions
What is Dr. Dimitrios Koudoumas's medical specialty?
Dr. Dimitrios Koudoumas practices Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Great Falls, MT.
Where does Dr. Dimitrios Koudoumas practice?
Dr. Dimitrios Koudoumas practices at 1101 26Th St S, Great Falls, MT 594055161. Office phone: 4067318888.
What is Dr. Dimitrios Koudoumas's NPI?
Dr. Dimitrios Koudoumas's National Provider Identifier (NPI) is 1639456767, issued by NPPES.
Does Dr. Dimitrios Koudoumas accept Medicare assignment?
Yes. Dr. Dimitrios Koudoumas accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dimitrios Koudoumas commonly perform?
Top Medicare-reported procedures in 2023: Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS G2212); Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th (HCPCS G0316); Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or (HCPCS G2212). Source: CMS Medicare Physician & Other Practitioners file.