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HEIDI HILTON KOSCH D.O.
NPI 1104205301
Family Medicine in Rochester, MI

Active since May 21, 2015PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
1135 W UNIVERSITY DR STE 250, ROCHESTER, MI 48307(248) 650-6301(248) 601-7637 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heidi Hilton Kosch D.o. NPPES

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

HEIDI HILTON KOSCH D.O. (NPI 1104205301) is an individual family medicine provider in Rochester, Michigan, licensed in Michigan (5101021554) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1104205301
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEIDI HILTON KOSCHCredential: D.O.
Location Address1135 W UNIVERSITY DR STE 250Rochester, MI 48307-1886
Mailing Address1135 W University Dr Ste 250Rochester, MI 48307-1886 · (248) 650-6301 · Fax (248) 601-7637
Phone(248) 650-6301
Fax(248) 601-7637
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2015
Enumeration DateMay 21, 2015
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1104205301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 5101021554
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1135 W UNIVERSITY DR STE 250, Rochester, MI 48307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Heidi Hilton Kosch D.o. 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 ID1254645393
PECOS Enrollment IDI20180514002294
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 5

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.
80 services58 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
53 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services17 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.99
Promoting Interoperability100
Improvement Activities40
Cost60.82

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.

ELEANOR KING M.D.
Family Medicine
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301
BRANDELYN RACHAEL KELLY MD
Family Medicine
1135 W UNIVERSITY DR STE 250
ROCHESTER HILLS, MI 48307
Oakland County (248) 601-4900
AMNA ZAHIR AL-JAWHER
Student in an Organized Health Care Education/Training Program
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301
UDDAMPREET SINGH ARORA
Student in an Organized Health Care Education/Training Program
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 652-5000
SUSAN AZZARO SIMPSON LLMSW
Social Worker
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301
DR. HARDEEP SINGH GARCHA MD
Student in an Organized Health Care Education/Training Program
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 601-4900
DR. MARIAM SABAH NISSAN MD
Student in an Organized Health Care Education/Training Program
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 652-5000
DR. CANDIS M JARBO DO
Family Medicine
1135 W UNIVERSITY DR STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301

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 Heidi Hilton Kosch's NPI number?

The NPI number for Heidi Hilton Kosch is 1104205301. It was assigned to this individual provider in the NPPES registry on May 21, 2015.

Where is Heidi Hilton Kosch located?

Heidi Hilton Kosch practices at 1135 W University Dr Ste 250, Rochester, MI 48307. The listed phone number is (248) 650-6301.

What is Heidi Hilton Kosch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heidi Hilton Kosch enrolled in Medicare?

Yes. Heidi Hilton Kosch 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 Heidi Hilton Kosch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Heidi Hilton Kosch 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 Heidi Hilton Kosch affiliated with any hospitals?

According to CMS data, Heidi Hilton Kosch is affiliated with Ascension St John Hospital and Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Heidi Hilton Kosch was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.