OLEG SERGEEVICH KOUSKOV MD
NPI 1053521203
Internal Medicine - Pulmonary Disease in Meridian, ID

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
2347 E GALA ST, MERIDIAN, ID 83642(208) 323-3767 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Oleg Sergeevich Kouskov Md NPPES

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

OLEG SERGEEVICH KOUSKOV MD (NPI 1053521203) is an individual pulmonary disease provider in Meridian, Idaho, licensed in Idaho (M11223) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1053521203
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameOLEG SERGEEVICH KOUSKOVCredential: MD
Location Address2347 E GALA STMeridian, ID 83642-4881
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 23, 2007
Last NPPES UpdateJanuary 23, 2014
NPI 1053521203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in ID · M11223
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License M11223 (ID)
2347 E GALA ST, Meridian, ID 83642

Other Identifiers 1

Medicare PIN20000011ID

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

Oleg Sergeevich Kouskov 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 ID8426227083
PECOS Enrollment IDI20110816000647
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 9

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 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.
51 services43 patients
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.
28 services27 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
14 services13 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.
14 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services13 patients
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels G0400
A Home Sleep Test (HST) with a Type IV Portable Monitor is a non-invasive test done at home. It records your sleep patterns, breathing, oxygen levels, and heart rate to help diagnose sleep disorders like sleep apnea. It's unattended and uses minimum of 3 channels for data collection.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

St Luke's Mccall

Critical Access Hospitals · Mccall, ID
OwnershipProprietary
CMS Certification Number131312
Location1000 State StreetMccall, ID 83638 · Valley County
Emergency services Birthing friendly

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381321
Location900 Sunset DriveLa Grande, OR 97850 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers106 claims106 services$37.55 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers48 claims48 services$92.16 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers56 claims128 services$34.90 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers48 claims205 services$20.31 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers17 claims97 services$17.13 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers53 claims53 services$57.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Pulmonary Disease)
2347 E GALA ST
MERIDIAN, ID 83642
Internal Medicine (Critical Care Medicine)
2347 E GALA ST
MERIDIAN, ID 83642
Internal Medicine (Pulmonary Disease)
2347 E GALA ST
MERIDIAN, ID 83642
Internal Medicine (Pulmonary Disease)
2347 E GALA ST
MERIDIAN, ID 83642
Internal Medicine (Pulmonary Disease)
2347 E GALA ST
MERIDIAN, ID 83642
Internal Medicine (Pulmonary Disease)
2347 E GALA ST
MERIDIAN, ID 83642
Nurse Practitioner (Family)
2347 E GALA ST
MERIDIAN, ID 83642
Internal Medicine (Pulmonary Disease)
2347 E GALA ST
MERIDIAN, ID 83642

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 Oleg Kouskov's NPI number?

The NPI number for Oleg Kouskov is 1053521203. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Oleg Kouskov located?

Oleg Kouskov practices at 2347 E Gala St, Meridian, ID 83642. The listed phone number is (208) 323-3767.

What is Oleg Kouskov's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Oleg Kouskov enrolled in Medicare?

Yes. Oleg Kouskov 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 Oleg Kouskov accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Oleg Kouskov 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 Oleg Kouskov affiliated with any hospitals?

According to CMS data, Oleg Kouskov is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center, St Luke's Elmore Medical Center, St Luke's Mccall and Grande Ronde Hospital.

When was this NPI record last updated?

The NPPES record for Oleg Kouskov was last updated on January 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.