ANDREW LEE-WAH KOO (MD) – Psychiatry Physician, NPI 1730281668
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ANDREW LEE-WAH KOO (MD)
PO BOX 547
CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT
BARRE, VT 056410547
Phone: (802) 225-1266
Fax: (802) 479-3548
Type: Mailing
82 E VIEW LN STE 3
FAMILY PSYCHIATRY ASSOCIATES
BERLIN, VT 056029516
Phone: (802) 225-1266
Fax: (802) 479-3548
Type: Location
215 N Main St
White River Junction, VT 050090001
Phone: (802) 295-9363
Type: Location
215 N MAIN ST
WHITE RIVER JUNCTION, VT 050090001
Phone:
Type: Mailing
1 MEDICAL CENTER DR
LEBANON, NH 037560001
Phone: (603) 650-5000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100921000529 | I | Psychiatry | VT | TBD |
| I20230915000518 | I | Psychiatry | NH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05641)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VT | |
| - | VT | |
| Orthopedic Surgery | VT | |
| Nurse Practitioner | VT | |
| - | VT | |
| Physician Assistant | VT | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT | |
| Physician Assistant | VT |
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