PHILLIP W KOSTROUN REGISTERED DIETITIAN
NPI 1003924002
Dietitian, Registered in San Antonio, TX

Active since August 29, 2006Accepts Medicare Assignment
93.33/100
CMS Quality Rating
5107 MEDICAL DR, SAN ANTONIO, TX 78229(210) 614-8612(210) 615-5596 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Phillip W Kostroun Registered Dietitian NPPES

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

PHILLIP W KOSTROUN REGISTERED DIETITIAN (NPI 1003924002) is an individual dietitian, registered in San Antonio, Texas and active in the NPI registry since August 2006. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1003924002
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NamePHILLIP W KOSTROUNCredential: REGISTERED DIETITIAN
Location Address5107 MEDICAL DRSan Antonio, TX 78229
Mailing Address5107 Medical DrSan Antonio, TX 78229 · (210) 614-8612 · Fax (210) 615-5596
Fax(210) 615-5596
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003924002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

5107 MEDICAL DR, San Antonio, TX 78229

Other Identifiers 1

Medicare UPINQ50979

Accepted Insurance

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

Phillip W Kostroun Registered Dietitian 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 ID143253708
PECOS Enrollment IDI20050914000510

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure reassessment for nutrition management, each 15 minutes 97803
This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.
611 services125 patients
Therapy procedure for nutrition management with group, each 30 minutes 97804
This therapy involves group sessions focused on nutrition management. Each session lasts 30 minutes. You'll learn about healthy eating habits, meal planning, and how nutrition affects your overall health. It's a supportive environment to share experiences and learn from others.
138 services35 patients
Therapy procedure for nutrition management, each 15 minutes 97802
This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.
113 services34 patients
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face wi G0270
Medical Nutrition Therapy (MNT) reassessment involves reviewing your dietary needs due to a change in your medical condition or treatment. This may include additional hours for kidney disease. This is a one-on-one, face-to-face service to ensure your diet aligns with your health needs.
62 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$0.00 typical visit price
range $54.84 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost72.21

Other Providers at the Same Location NPPES 20

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

Registered Nurse
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nutritionist (Nutrition, Education)
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5107 MEDICAL DR
SAN ANTONIO, TX 78229
Nurse Practitioner (Family)
5107 MEDICAL DR
SAN ANTONIO, TX 78229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Kostroun's NPI number?

The NPI number for Phillip Kostroun is 1003924002. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Phillip Kostroun located?

Phillip Kostroun practices at 5107 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 614-8612.

What is Phillip Kostroun's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Phillip Kostroun enrolled in Medicare?

Yes. Phillip Kostroun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Phillip Kostroun accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and WellPoint list Phillip Kostroun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phillip Kostroun was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.