TALIA KOSTICK
NPI 1114423050
Family Medicine in Santa Rosa, CA

Q: What is Talia Kostick's NPI number?

The NPI number for Talia Kostick is 1114423050. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Q: What is Talia Kostick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Talia Kostick was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 31, 2018PECOS Enrolled

3569 ROUND BARN CIR STE 200, SANTA ROSA, CA 95403(707) 583-8800 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 22, 2021, Mar 31, 2018 (2 updates tracked since 2018).

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About Talia Kostick NPPES

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

TALIA KOSTICK (NPI 1114423050) is an individual family medicine provider in Santa Rosa, California, licensed in Utah (12264897-1205) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Taylorsville.

NPPES Registry Identity

NPI1114423050

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTALIA KOSTICK

Location Address3569 ROUND BARN CIR STE 200Santa Rosa, CA 95403-5781

Mailing Address3569 Round Barn Cir Ste 200Santa Rosa, CA 95403-5781 · (707) 583-8800

Phone(707) 583-8800

Sole ProprietorNo

Enumeration DateMarch 31, 2018

Last NPPES UpdateJune 22, 20212 updates tracked since enumeration

NPPES CertifiedJune 22, 2021

✔ NPI 1114423050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 12264897-1205

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3569 ROUND BARN CIR STE 200, Santa Rosa, CA 95403

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Secondary Practice Location 1

Location 14745 S 3200 WTaylorsville, UT 84129-2822 · Phone (801) 964-6214 · Fax (801) 982-9232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Talia Kostick 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.

Medicare Billing Reassignments

Medicare enrollment records show Talia Kostick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Santa Rosa Community Health Centers

0.2 mi

Federally Qualified Health Center (FQHC)

3569 ROUND BARN CIRCLE
Santa Rosa, CA 95403

Reassigned Medicare billing, California enrollment
215 clinicians in this Medicare group

NPI 1578631172 (707) 303-3600

Planned Parenthood Shasta Diablo, Inc.

3.1 mi

Community Health

1140 SONOMA AVE
Santa Rosa, CA 95405

Reassigned Medicare billing, California enrollment
61 clinicians in this Medicare group

NPI 1659671600 (707) 527-7656

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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.

DR. KENDALL MADDEN M.D.

Student in an Organized Health Care Education/Training Program