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JACLYN F. KOZIOL PA-C
NPI 1144865601
Physician Assistant in Chicago, IL

Active since November 08, 2019PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
211 E ONTARIO ST STE 200, CHICAGO, IL 60611(312) 694-7000(312) 926-6274 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2022, Feb 19, 2021, Nov 18, 2019 and 1 more (4 updates tracked since 2019).

About Jaclyn F. Koziol Pa-c NPPES

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

JACLYN F. KOZIOL PA-C (NPI 1144865601) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085008587) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1144865601
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACLYN F. KOZIOLCredential: PA-C
Location Address211 E ONTARIO ST STE 200Chicago, IL 60611-3284
Mailing Address211 E Ontario St Ste 200Chicago, IL 60611-3284 · (312) 694-7000 · Fax (312) 926-6274
Phone(312) 694-7000
Fax(312) 926-6274
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 8, 2019
Last NPPES UpdateMay 23, 20224 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1144865601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IL · 085008587✔ Licensed in IN · 10002865A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
211 E ONTARIO ST STE 200, Chicago, IL 60611
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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

Jaclyn F. Koziol Pa-c 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 ID4284068297
PECOS Enrollment IDI20220211002232
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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. LAUREN PAGE BLACK M.D.
Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Cook County (312) 694-7000
DR. BERNARD WEIGEL MD
Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Cook County (312) 694-7000
MALLACK JABER PA-C
Physician Assistant
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Cook County (312) 694-7000
MICHAEL L KALINA M.D.
Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Cook County (312) 694-7000
DR. AMER ALDEEN MD
Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Cook County (312) 694-7000
PETER SERINA
Emergency Medicine
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Cook County (312) 926-6493
GABRIELLA DEMARCO PA-C
Physician Assistant
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Cook County (312) 694-7000
DENNIS SHEA PA
Physician Assistant
211 E ONTARIO ST STE 200
CHICAGO, IL 60611
Cook County (312) 694-7000

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 Jaclyn Koziol's NPI number?

The NPI number for Jaclyn Koziol is 1144865601. It was assigned to this individual provider in the NPPES registry on November 8, 2019.

Where is Jaclyn Koziol located?

Jaclyn Koziol practices at 211 E Ontario St Ste 200, Chicago, IL 60611. The listed phone number is (312) 694-7000.

What is Jaclyn Koziol's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jaclyn Koziol enrolled in Medicare?

Yes. Jaclyn Koziol 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.

When was this NPI record last updated?

The NPPES record for Jaclyn Koziol was last updated on May 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.