Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Kyungsoo Koller, MD

Individual provider Psychiatry Physician · NPI 1457855033

Matthew Kyungsoo Koller, MD practises Psychiatry in New York, New York. Qualified in 2018, 8 years ago. Practices with Mccd Fl Psychiatry Services PA, a 729-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York, Texas and Utah.

Years since qualifying
8
Licensed in
NY, TX, UT
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

109 W 27th St Ste 5S
New York, NY 10001-0265
Phone: (833) 351-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3223 S Loop 289 Ste 600, Lubbock, TX 79423-1372 — (833) 351-8255
  • 10 W Broadway Fl 7, Salt Lake City, UT 84101-2060 — (833) 351-8255

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence T3650 (TX)
Psychiatry Physician Taxonomy 2084P0800X · Licence 13276397-1205 (UT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 316400 (NY)

Record details

NPI number1457855033
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2018
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice McCd Fl Psychiatry Services Pa — 729 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients23
Services billed 299 a service is one billed item, such as a visit, a test or a procedure
Average patient age66

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Mccd Fl Psychiatry Services PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 729 clinicians in the practice; 12 are shown here.

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