DR. THOMAS KOUSTIS DDS
NPI 1013928845
Dentist in Willoughby, OH

Active since August 10, 2006PECOS Enrolled
35403 EUCLID AVE, SUITE 200, WILLOUGHBY, OH 44094(440) 942-1161(440) 918-9625 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Thomas Koustis Dds NPPES

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

DR. THOMAS KOUSTIS DDS (NPI 1013928845) is an individual dentist in Willoughby, Ohio, licensed in Ohio (17514) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013928845
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. THOMAS KOUSTISCredential: DDS
Location Address35403 EUCLID AVE, SUITE 200Willoughby, OH 44094-4568
Mailing Address35403 Euclid Ave, Suite 200Willoughby, OH 44094-4568 · (440) 942-1161 · Fax (440) 918-9625
Fax(440) 918-9625
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1013928845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in OH · 17514
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
35403 EUCLID AVE, Willoughby, OH 44094

Other Identifiers 2

Medicare ID-Type Unspecified4136291
Medicare UPINV03144

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Thomas Koustis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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 Thomas Koustis's NPI number?

The NPI number for Thomas Koustis is 1013928845. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Thomas Koustis located?

Thomas Koustis practices at 35403 Euclid Ave Suite 200, Willoughby, OH 44094. The listed phone number is (440) 942-1161.

What is Thomas Koustis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Thomas Koustis enrolled in Medicare?

Yes. Thomas Koustis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Koustis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.