DR. PAUL KOGAN MD
NPI 1023377736
Urology in Shiloh, IL

Q: What is Paul Kogan's NPI number?

The NPI number for Paul Kogan is 1023377736. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Q: What is Paul Kogan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Kogan was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since May 15, 2012PECOS EnrolledAccepts Medicare Assignment

92.39/100

CMS Quality Rating

1418 CROSS ST, DIV SURG UROLOGY, STE 180, SHILOH, IL 62269(314) 362-8200(833) 210-5713 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2022, Jul 2, 2020, Feb 6, 2020 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Paul Kogan Md NPPES

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

DR. PAUL KOGAN MD (NPI 1023377736) is an individual urology provider in Shiloh, Illinois, licensed in Illinois (036156535) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and is a graduate of State University Of New York Downstate Medical Center (2012).

NPPES Registry Identity

NPI1023377736

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. PAUL KOGANCredential: MD

Location Address1418 CROSS ST, DIV SURG UROLOGY, STE 180Shiloh, IL 62269-2914

Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-8200 · Fax (833) 210-5713

Phone(314) 362-8200

Fax(833) 210-5713

Sole ProprietorNo

Medical School CMSState University Of New York Downstate Medical CenterGraduated 2012

Enumeration DateMay 15, 2012

Last NPPES UpdateApril 21, 20254 updates tracked since enumeration

NPPES CertifiedJuly 23, 2022

✔ NPI 1023377736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in IL · 036156535

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1418 CROSS ST, Shiloh, IL 62269

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Other Identifiers 1

Medicaid200095837MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans.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

Dr. Paul Kogan 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 ID8022254788

PECOS Enrollment IDI20210617001741, I20210623003976

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 18

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

419 services327 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

245 services202 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

104 services104 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

76 services70 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

60 services45 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

56 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services49 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

45 services37 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

35 services35 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

28 services28 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

28 services28 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

26 services23 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

25 services21 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

20 services14 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

19 services18 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

16 services15 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

15 services15 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140002

LocationOne Memorial DriveAlton, IL 62002 · Madison County

Emergency services Birthing friendly

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260032

LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County

Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260108

Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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

$131.14 typical visit price

range $56.28 – $173.35

Typical copayment $32.78 (range $14.07 – $43.33)

Most-billed visit code 99204

Established Patient

$70.42 typical visit price

range $17.51 – $139.99

Typical copayment $17.60 (range $4.37 – $34.99)

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.

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.

92.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.81

Promoting Interoperability

100

Improvement Activities

Cost

70.26

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims660 services$0.09 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers16 claims2,550 services$1.58 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers13 claims2,570 services$5.72 avg. paid by Medicare

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

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Other Providers at the Same Location NPPES 12

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

DR. BRETT HOWARD HERZOG MD PHD

Internal Medicine (Medical Oncology)

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (618) 607-1340

DR. JOHN L VISCONTI DO

Internal Medicine (Medical Oncology)

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (618) 607-1340

DR. ALFRED O GRECO MD

Internal Medicine (Medical Oncology)

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (618) 607-1340

MR. COREY AUSTIN BROOKS PA

Physician Assistant

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (618) 607-1340

PROTESTANT MEMORIAL MEDICAL CENTER, INC.

Pharmacy (Community/Retail Pharmacy)

1418 CROSS ST
SHILOH, IL 62269

St. Clair County (618) 607-1419

MS. AMANDA D ALLEN AGNP

Nurse Practitioner (Gerontology)

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (800) 647-2098

DR. WILLIAM JAMES POPOVIC MD

Internal Medicine (Medical Oncology)

1418 CROSS ST, DIV IM MEDICAL ONCOLOGY, STE 180
SHILOH, IL 62269

St. Clair County (618) 607-1340

MS. STACI J LADOWITZ PA

Physician Assistant (Medical)

1418 CROSS ST, STE 160
SHILOH, IL 62269

St. Clair County (618) 607-1340

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 Paul Kogan's NPI number?

The NPI number for Paul Kogan is 1023377736. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Paul Kogan located?

Paul Kogan practices at 1418 Cross St Div Surg Urology, Ste 180, Shiloh, IL 62269. The listed phone number is (314) 362-8200.

What is Paul Kogan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Paul Kogan enrolled in Medicare?

Yes. Paul Kogan 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 Paul Kogan accept?

Health plans from Cox HealthPlans list Paul Kogan 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.

Is Paul Kogan affiliated with any hospitals?

According to CMS data, Paul Kogan is affiliated with Alton Memorial Hospital, Memorial Hospital Of Carbondale, Memorial Hospital, Barnes Jewish Hospital and Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Kogan was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.