Medicare Enrolled
Dr. Irene Kakossian, M.D.
Obstetrics & Gynecology · Brooklyn, NY
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Kakossian from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Kakossian
Dr. Irene Kakossian is an obstetrics & gynecology specialist in Brooklyn, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Kakossian performed 3,096 Medicare services across 2,919 unique beneficiaries.
Between the years covered by Open Payments, Dr. Kakossian received a total of $1,817 from 27 pharmaceutical and/or device companies across 87 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in obstetrics & gynecology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Kakossian is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 1% volume in NY
$1,817 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,096
Medicare services
Top 1% in NY for obstetrics & gynecology
2,919
Unique beneficiaries
$26
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~163 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
175 | $3 | $8 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
159 | $75 | $150 |
| Transvaginal pelvic ultrasound An ultrasound exam using a probe inserted into the vagina to image the uterus, ovaries, fallopian tubes, cervix, and surrounding pelvic structures. |
138 | $110 | $200 |
| Candida yeast detection test A laboratory test that uses a direct probe technique to detect the presence of Candida species, a type of yeast, in a patient sample. |
131 | $20 | $30 |
| Gardnerella vaginalis detection test A laboratory test that uses a direct probe technique to detect the presence of Gardnerella vaginalis bacteria. |
131 | $20 | $30 |
| Trichomonas vaginalis nucleic acid test A laboratory test that uses a direct probe technique to detect the genetic material of the Trichomonas vaginalis parasite. |
131 | $20 | $40 |
| Pap smear screening test A screening test to collect and prepare a cervical or vaginal sample for laboratory analysis. |
118 | $51 | $120 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
95 | $7 | $7 |
| Alpha-fetoprotein (AFP) level test A blood test that measures the amount of alpha-fetoprotein in the serum. This test is used to monitor certain health conditions. |
87 | $16 | $60 |
| Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3 | 87 | $20 | $50 |
| CA 19-9 tumor antigen test A blood test that measures the level of CA 19-9, a substance that can be found in the blood of some people with cancer. This quantitative analysis detects and measures the specific tumor antigen. |
87 | $20 | $50 |
| Immunologic analysis for detection of tumor antigen, quantitative; ca 125 | 87 | $20 | $50 |
| Carcinoembryonic antigen (CEA) level test A blood test that measures the level of carcinoembryonic antigen (CEA) protein. This test is used to monitor certain types of cancer. |
86 | $19 | $45 |
| HPV high-risk type nucleic acid test A laboratory test that uses nucleic acid detection to identify high-risk types of human papillomavirus. |
61 | $34 | $45 |
| HPV DNA test for types 16 and 18 A laboratory test that uses nucleic acid detection to identify the presence of human papillomavirus types 16 and 18. |
61 | $40 | $50 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
59 | $13 | $50 |
| Cardiac enzyme level (CK-MB) test A blood test that measures the total level of creatine kinase, specifically the cardiac enzyme fraction, to help evaluate heart muscle damage. |
59 | $6 | $15 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
59 | $15 | $45 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
59 | $14 | $35 |
| Lactate dehydrogenase (LDH) level test A blood test that measures the amount of lactate dehydrogenase, an enzyme found in many body tissues. It helps assess tissue damage or disease. |
59 | $6 | $20 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
59 | $7 | $20 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
59 | $5 | $15 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
59 | $4 | $10 |
| High-sensitivity C-reactive protein test A blood test that measures high-sensitivity C-reactive protein to detect infection or inflammation. |
59 | $13 | $30 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
58 | $10 | $70 |
| 1,25-dihydroxyvitamin D level test A blood test that measures the level of active vitamin D in the body. |
58 | $38 | $50 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
58 | $13 | $25 |
| Iron level test | 58 | $6 | $15 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
58 | $9 | $25 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
57 | $10 | $20 |
| Homocysteine level test A blood test that measures the amount of homocysteine, an amino acid, in the body. |
57 | $18 | $40 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
37 | $83 | $175 |
| DHEA-S hormone level test A blood test that measures the level of dehydroepiandrosterone sulfate (DHEA-S), a hormone produced by the adrenal glands. |
34 | $22 | $40 |
| Insulin level test A blood test that measures the total amount of insulin in your body. |
34 | $11 | $30 |
| Total cortisol level test A blood test that measures the total amount of cortisol hormone in your body. Cortisol is a hormone produced by the adrenal glands. |
33 | $16 | $35 |
| Total estradiol level test A blood test that measures the total amount of estradiol, a form of estrogen, in the body. |
33 | $27 | $45 |
| Follicle stimulating hormone (FSH) level A blood test to measure the level of follicle stimulating hormone, a reproductive hormone. |
33 | $18 | $50 |
| Luteinizing hormone level test A blood test that measures the level of luteinizing hormone, a reproductive hormone. This test helps evaluate hormonal balance and reproductive function. |
33 | $18 | $40 |
| Progesterone level test A blood test that measures the amount of progesterone, a reproductive hormone, in your body. |
33 | $20 | $40 |
| Prolactin level test A blood test that measures the amount of prolactin, a hormone produced by the pituitary gland that stimulates milk production, in the body. |
33 | $19 | $50 |
| Total testosterone level test A blood test that measures the total amount of testosterone in your body. This hormone is important for various bodily functions in both men and women. |
33 | $25 | $50 |
| Free T3 thyroid hormone test A blood test that measures the level of free triiodothyronine (T3) hormone in your body. This helps assess how well your thyroid gland is functioning. |
33 | $17 | $40 |
| Microsomal antibody test A blood test that measures the level of microsomal antibodies, which are autoantibodies produced by the immune system. |
33 | $14 | $40 |
| Thyroglobulin antibody blood test A blood test that measures the level of antibodies against thyroglobulin, a protein produced by the thyroid gland. |
33 | $16 | $30 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
30 | $9 | $20 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
29 | $16 | $35 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
17 | $118 | $200 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
16 | $155 | $220 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$1,817
Total received (2018-2024)
Avg $260/year across 7 years
Top 21% in NY for obstetrics & gynecology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
27
Companies
87
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,714 (94.3%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$103 (5.7%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$137
2023
$108
2022
$538
2021
$308
2020
$129
2019
$328
2018
$270
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
SHIELD THERAPEUTICS INC
$50
MAYNE PHARMA COMMERCIAL LLC
$50
PFIZER INC.
$23
Astellas Pharma US Inc
$14
Top 3 companies account for 89.7% of 2024 payments
All-time payments by company (2018-2024) ›
AbbVie Inc.
$193
Aspira Women's Health Inc
$167
AbbVie, Inc.
$132
MAYNE PHARMA COMMERCIAL LLC
$104
Vertical Pharmaceuticals, LLC
$103
AMAG Pharmaceuticals, Inc.
$103
PFIZER INC.
$89
Evofem Biosciences, Inc.
$89
Lupin Inc.
$88
Hologic, LLC
$83
Exeltis, USA Inc.
$75
Allergan Inc.
$72
Daiichi Sankyo Inc.
$70
Myovant Sciences Inc.
$64
SHIELD THERAPEUTICS INC
$50
MAYNE PHARMA INC.
$46
Roche Diagnostics Corporation
$46
Biohaven Pharmaceutical Holding Company Ltd.
$39
Astellas Pharma US Inc
$36
ABBVIE INC.
$35
CooperSurgical, Inc.
$28
Agile Therapeutics, Inc.
$24
SCYNEXIS, Inc.
$21
Gilead Sciences, Inc.
$17
DySIS Medical, Inc.
$15
Organon LLC
$15
Avion Pharmaceuticals
$11
Top 3 companies account for 27.1% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AFFIRM · Aptima Combo 2 · Aptima HPV · Balcoltra · DIVIGEL · DYSIS ULTRA · INJECTAFER · INTRAROSA · LO LOESTRIN FE · MYFEMBREE · NEXPLANON · NEXTSTELLIS · NURTEC ODT · ORIAHNN · ORILISSA · OVA1 · Orilissa · PREMARIN · Paragard · Phexxi · RS Harmony Test Related Products · SLYND · SOLOSEC · SOLOSEC-CEEK · THINPREP 2000 PROCESSOR · Truvada · Twirla · Veozah
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Obstetricians & gynecologists within 10 mi
2,193
Per 100K population
82.9
County median income
$78,548
Nearest hospital
SOUTH BROOKLYN HEALTH
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Kakossian is a mixed practice specialist, with above-average Medicare volume (top 1% in NY), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Kakossian experienced with urinalysis, manual?
Based on Medicare claims data, Dr. Kakossian performed 175 urinalysis, manual services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Kakossian receive payments from pharmaceutical companies?
Yes. Dr. Kakossian received a total of $1,817 from 27 companies across 87 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Kakossian's costs compare to other obstetricians & gynecologists in Brooklyn?
Dr. Kakossian's average Medicare payment per service is $26. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Kakossian) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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