KEVIN R KOZAK MD, PHD
NPI 1124219241
Radiology - Radiation Oncology in Baraboo, WI

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
707 14TH ST, BARABOO, WI 53913(608) 356-1400 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2025, Apr 13, 2021, Mar 15, 2021 (3 updates tracked since 2021).

About Kevin R Kozak Md, Phd NPPES

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

KEVIN R KOZAK MD, PHD (NPI 1124219241) is an individual radiation oncology provider in Baraboo, Wisconsin, licensed in Wisconsin (51615) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Javon Bea Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124219241
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameKEVIN R KOZAKCredential: MD, PHD
Location Address707 14TH STBaraboo, WI 53913-1539
Mailing Address707 14th StBaraboo, WI 53913-1539 · (608) 356-1400
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2003
Enumeration DateAugust 5, 2007
Last NPPES UpdateJune 23, 20253 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
NPI 1124219241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses Licensed in WI · 51615 Licensed in FL · ME148357 Licensed in IL · 036121114
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

707 14TH ST, Baraboo, WI 53913

Secondary Practice Locations 2

Location 125243 Elementary WayBonita Springs, FL 34135-7898 · Phone (239) 317-2772 · Fax (239) 676-7637
Location 21000 Mineral Point AveJanesville, WI 53548-2940 · Phone (608) 756-6500 · Fax (608) 756-6501

Other Identifiers 4

OtherHVZ5RFL · Fl Blue
OtherNO241FL · Medicare
Medicaid109765700FL
OtherKOZAKKEVWI · Mercycare 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

Kevin R Kozak Md, Phd 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 ID3173696465
PECOS Enrollment IDI20080719000084, I20090127000736
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 16

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
760 services43 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
246 services67 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
223 services62 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
189 services72 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
142 services112 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
74 services70 patients

Hospital Affiliations CMS Care Compare 4

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

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Ssm Health St Clare Hospital - Baraboo

Acute Care Hospitals · Baraboo, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520057
Location707 14th StBaraboo, WI 53913 · Sauk County
Emergency services Birthing friendly

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53913 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Dietitian, Registered
707 14TH ST
BARABOO, WI 53913
Dietitian, Registered
707 14TH ST
BARABOO, WI 53913
Hospitalist
707 14TH ST
BARABOO, WI 53913
Physical Therapist
707 14TH ST
BARABOO, WI 53913
Dietitian, Registered
707 14TH ST
BARABOO, WI 53913
Specialist/Technologist (Athletic Trainer)
707 14TH ST
BARABOO, WI 53913
Physical Therapist
707 14TH ST, ST. CLARE HOSPITAL AND HEALTH SERVICES
BARABOO, WI 53913
Specialist/Technologist (Athletic Trainer)
707 14TH ST
BARABOO, WI 53913

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 Kevin Kozak's NPI number?

The NPI number for Kevin Kozak is 1124219241. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Kevin Kozak located?

Kevin Kozak practices at 707 14th St, Baraboo, WI 53913. The listed phone number is (608) 356-1400.

What is Kevin Kozak's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Kevin Kozak enrolled in Medicare?

Yes. Kevin Kozak 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.

Is Kevin Kozak affiliated with any hospitals?

According to CMS data, Kevin Kozak is affiliated with Javon Bea Hospital, Ssm Health St Clare Hospital - Baraboo, Mercy Health System Corp and Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Kozak was last updated on June 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.