SARAH R KOSCICA MD
NPI 1003814625
Family Medicine in Peoria, IL

Q: What is Sarah Koscica's NPI number?

The NPI number for Sarah Koscica is 1003814625. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Q: What is Sarah Koscica's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Koscica was last updated on June 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment

1701 W GARDEN ST, PEORIA, IL 61605(309) 680-7600(309) 680-7686 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Sarah R Koscica Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH R KOSCICA MD (NPI 1003814625) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036120457) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Medical College Of Wisconsin (2002).

NPPES Registry Identity

NPI1003814625

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSARAH R KOSCICACredential: MD

Location Address1701 W GARDEN STPeoria, IL 61605

Mailing Address2214 N University AvePeoria, IL 61604 · (309) 680-7600 · Fax (309) 681-8620

Phone(309) 680-7600

Fax(309) 680-7686

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2002

Enumeration DateJuly 8, 2005

Last NPPES UpdateJune 11, 2014

✔ NPI 1003814625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036120457

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1701 W GARDEN ST, Peoria, IL 61605

Open in Google Maps ↗

Other Identifiers 16

Other142205OH · Care Choices

Other142205OH · Priority Health

Other344428256OH · First Health

Medicare UPIN133726OH

Medicaid4763660MI

Medicare PINBE4163081

Other01513OH · Paramount

Other130662OH · Nationwide

Other344428256CA · Beech Street

Other000000271872OH · Anthem Medicaid

Other000000371872OH · Anthem Commerical

Other344428256OH · Emerald

Medicaid2581102OH

Other3303596OH · Cigna

Other344428256065OH · Caresources

Medicaid4753670MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sarah R Koscica Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436186418

PECOS Enrollment IDI20080712000042

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Proctor Hospital

Acute Care Hospitals · Peoria, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140013

Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County

Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers15 claims31 services$4.69 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$91.08 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD E ETHERTON NP

Nurse Practitioner