Evangeline Koutalianos, MD
NPI 1780090035ActiveIndividual· Physical Medicine & Rehabilitation· Syracuse, NY
Physical Medicine & Rehabilitation (MD) with Physical Medicine and Rehab Medical Service Group and 1 other group, practicing in Syracuse, New York. 117 Medicare patients in 2024, $30,893 paid; all of their 88 Part D prescriptions were generic. Lists University Hospital S U N y Health Science Center as a hospital affiliation.
Overview
| NPI | 1780090035 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Jul 8, 2014 |
| Last updated in NPPES | May 13, 2021 |
| Certified by provider | May 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 299948 | NY |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | 299948 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Medicine and Rehabilitation (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 117 |
|---|---|
| Services billed | 423 across 20 procedure codes |
| Paid by Medicare | $30,893 |
Part D prescriptions in 2024
| Prescriptions (claims) | 88 · 139 30-day fills |
|---|---|
| Patients | 35 |
| Total drug cost | $983.18 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physical Medicine And Rehabilitation |
Medical groups
- Physical Medicine and Rehab Medical Service GroupSyracuse, NY · 19 clinicians
- Upstate Neurosurgery LLPCamillus, NY · 15 clinicians
Hospital affiliation
Other facilities
- Upstate Medical UniversityInpatient rehabilitation facility · Syracuse, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 32 physiatrists in Syracuse · All physiatrists in New York