Medicare Enrolled

Dr. Shira Koss, MD

Otolaryngology · New York, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
310 E 14TH ST FL 6, New York, NY 10003
2129794223
In practice since 2012 (14 years)
NPI: 1356617534 verify on NPPES ↗
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. Koss 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. Koss

Dr. Shira Koss is an otolaryngology specialist in New York, NY, with 14 years of NPI registration. Based on federal Medicare data, Dr. Koss performed 2,520 Medicare services across 1,303 unique beneficiaries.

Between the years covered by Open Payments, Dr. Koss received a total of $6,644 from 12 pharmaceutical and/or device companies across 38 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in otolaryngology. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Koss 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.

✓ 14 years in practice ▲ Top 15% volume in NY $6,644 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,520
Medicare services
Top 15% in NY for otolaryngology
1,303
Unique beneficiaries
$71
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~180 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
Allergy skin test
A diagnostic test performed to identify specific allergies by applying or introducing allergenic extracts to the body. The procedure measures the patient's immune response to various potential allergens.
960 $4 $16
Nasal endoscopy
A diagnostic procedure that uses a thin, lighted tube to examine the inside of the nasal passages.
294 $133 $618
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.
254 $112 $409
Vocal cord movement assessment with endoscope
This procedure uses an endoscope to examine the movement of the vocal cords. It allows for the visual assessment of how the vocal cord flaps function.
226 $188 $677
Ear wax removal
A procedure to remove impacted ear wax from the ear canal.
211 $33 $119
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.
181 $75 $193
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.
114 $143 $453
Impacted earwax removal by physician
Removal of impacted earwax from one or both ears by a physician on the same day as audiologic testing.
67 $38 $128
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.
52 $93 $273
Allergy injection therapy, multiple injections
A professional service involving the administration of multiple allergen injections.
38 $12 $41
Endoscopic control of nosebleed
A procedure to stop bleeding in the nose using an endoscope to visualize the area.
34 $331 $744
Flexible laryngoscopy
A diagnostic exam of the voice box using a flexible endoscope to visualize the larynx.
17 $107 $498
Voice and resonance analysis
Evaluation of how voice and resonance are produced. This procedure assesses the mechanics of sound generation without specifying a clinical purpose.
17 $94 $352
CT scan of face, without contrast
A computed tomography scan that creates detailed images of the facial structures. This procedure is performed without the use of intravenous contrast dye.
15 $126 $456
Voice box function study
A test to evaluate how the voice box is functioning. This procedure assesses the mechanical and physiological performance of the larynx.
15 $75 $285
Swallowing and voice box sensory function evaluation
This procedure evaluates how well you swallow and the sensory function of your voice box using an endoscope. It involves recording and interpreting the results of the examination.
13 $37 $139
Swallowing and voice box sensory function evaluation
This procedure involves evaluating and recording the sensory function of the swallowing mechanism and voice box using an endoscope.
12 $196 $373
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 ↗
$6,644
Total received (2019-2024)
Avg $1,329/year across 5 years
Top 12% in NY for otolaryngology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
12
Companies
38
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.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$5,760 (86.7%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$884 (13.3%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$262
2023
$123
2022
$223
2021
$254
2019
$5,783

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Optinose US, Inc.
$119
GlaxoSmithKline, LLC.
$81
Regeneron Healthcare Solutions, Inc.
$46
Phadia US Inc.
$15
Top 3 companies account for 94.2% of 2024 payments
All-time payments by company (2019-2024) ›
Intersect ENT, Inc.
$5,760
GlaxoSmithKline, LLC.
$173
GENZYME CORPORATION
$170
Optinose US, Inc.
$136
Regeneron Healthcare Solutions, Inc.
$105
OptiNose US, Inc.
$68
Acclarent, Inc
$52
Stryker Corporation
$48
Phadia US Inc.
$48
Medtronic, Inc.
$38
Merck Sharp & Dohme LLC
$25
Merck Sharp & Dohme Corporation
$22
Top 3 companies account for 91.9% of all-time payments
Associated products mentioned in payments ›
DUPIXENT · FIAGON NAVIGATION UNIT · ImmunoCAP · NUCALA · NUVENT · PROPEL · TruDi NAV Cable · Xhance
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 →

The majority of payments (87%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers.

Looking for an otolaryngology specialist in New York?
Compare otolaryngologists in the New York area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Otolaryngologists within 10 mi
529
Per 100K population
32.5
County median income
$104,553
Nearest hospital
NY EYE AND EAR INFIRMARY OF MOUNT SINAI
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. Koss is a clinical cardiology specialist, with above-average Medicare volume (top 15% in NY), with consulting-driven industry engagement in the top 12% of NY peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Koss experienced with allergy skin test?
Based on Medicare claims data, Dr. Koss performed 960 allergy skin test 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. Koss receive payments from pharmaceutical companies?
Yes. Dr. Koss received a total of $6,644 from 12 companies across 38 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. Koss's costs compare to other otolaryngologists in New York?
Dr. Koss's average Medicare payment per service is $71. 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. Koss) 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 →
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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →