STEPHEN KOLAKOWSKI JR. MD
NPI 1003971102
Surgery - Vascular Surgery in Victorville, CA

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
13010 HESPERIA RD STE 400, VICTORVILLE, CA 92395(760) 242-9355 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephen Kolakowski Jr. Md NPPES

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

STEPHEN KOLAKOWSKI JR. MD (NPI 1003971102) is an individual vascular surgery provider in Victorville, California, licensed in California (C146610) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1003971102
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameSTEPHEN KOLAKOWSKI JR.Credential: MD
Location Address13010 HESPERIA RD STE 400Victorville, CA 92395-8315
Mailing Address19111 Town Center DrApple Valley, CA 92308-8989 · (760) 242-7777
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 27, 2006
Last NPPES UpdateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
NPI 1003971102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · C146610
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 25MA08206100 (NJ)
13010 HESPERIA RD STE 400, Victorville, CA 92395

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

Stephen Kolakowski Jr. 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 ID9133229461
PECOS Enrollment IDI20170511001340
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Leg revascularization (restoring blood flow) NAN01
Leg revascularization is a procedure aimed at restoring proper blood flow to your legs. It's often needed when blood vessels in your legs are blocked or narrowed. The process may involve surgery or less invasive methods to remove or bypass blockages, helping to alleviate pain and prevent serious complications.
0 services1 patient
Varicose vein removal NAN08
Varicose vein removal is a procedure to eliminate enlarged and twisted veins, commonly found in legs. It's performed when these veins cause discomfort or skin problems. The procedure may involve laser treatment, sclerotherapy (injecting a solution to close the veins), or surgery to remove the veins. It's generally safe and helps to alleviate symptoms.
0 services1 patient

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Surgery
13010 HESPERIA RD STE 400
VICTORVILLE, CA 92395
Nurse Practitioner (Family)
13010 HESPERIA RD STE 400
VICTORVILLE, CA 92395
Surgery
13010 HESPERIA RD STE 400
VICTORVILLE, CA 92395

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003971102, enumerated as an "individual" on December 27, 2006.

The provider is located at 13010 HESPERIA RD STE 400 VICTORVILLE, CA 92395 and the phone number is (760) 242-9355.

Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.