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HEATHER KOZA MD
NPI 1194045526
Family Medicine in Farmington Hills, MI

Active since June 08, 2010PECOS EnrolledAccepts Medicare Assignment
23800 ORCHARD LAKE RD STE 202, FARMINGTON HILLS, MI 48336(248) 997-5964(833) 428-8854 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2025, Dec 27, 2018, Nov 8, 2018 and 1 more (4 updates tracked since 2018).

About Heather Koza Md NPPES

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

HEATHER KOZA MD (NPI 1194045526) is an individual family medicine provider in Farmington Hills, Michigan, licensed in Michigan (4301104250) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health West Bloomfield Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2013).

NPPES Registry Identity

NPI1194045526
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER KOZACredential: MD
Location Address23800 ORCHARD LAKE RD STE 202Farmington Hills, MI 48336-2562
Mailing Address23800 Orchard Lake Rd Ste 202Farmington Hills, MI 48336-2562 · (248) 997-5964 · Fax (833) 428-8854
Phone(248) 997-5964
Fax(833) 428-8854
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2013
Enumeration DateJune 8, 2010
Last NPPES UpdateJune 12, 20254 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1194045526 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 MI · 4301104250
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 ListedGeneral PracticeTaxonomy 208D00000X · License 4301104250 (MI)
23800 ORCHARD LAKE RD STE 202, Farmington Hills, MI 48336
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Koza 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 ID1153550223
PECOS Enrollment IDI20140213000077
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

2

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

Legacy Family Care PLLC
Same address
Family Medicine
23800 ORCHARD LAKE RD STE 202
Farmington Hills, MI 48336
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1841000361 (248) 997-5964
S Park-Davis Healthcare
9.0 mi
Internal Medicine
30880 BECK RD
Novi, MI 48377
  • Reassigned Medicare billing, Michigan enrollment
  • 3 clinicians in this Medicare group
NPI 1649631813 (248) 926-0009

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

Areas of Expertise CMS Part B claims 3

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.
43 services27 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.
18 services14 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48336 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.

Reported Quality Measures

Breast Cancer Screening
51%90 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
42%203 patients2/55-star benchmark: 88%
Diabetes: Eye Exam
10%39 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%39 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
92%782 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%660 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 315 patients
0%315 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEGACY FAMILY CARE PLLC
Family Medicine
23800 ORCHARD LAKE RD STE 202
FARMINGTON HILLS, MI 48336
Oakland County (248) 997-5964

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 Heather Koza's NPI number?

The NPI number for Heather Koza is 1194045526. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Heather Koza located?

Heather Koza practices at 23800 Orchard Lake Rd Ste 202, Farmington Hills, MI 48336. The listed phone number is (248) 997-5964.

What is Heather Koza's specialty?

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

Is Heather Koza enrolled in Medicare?

Yes. Heather Koza 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.

Which organizations bill Medicare for Heather Koza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Koza reassigns Medicare benefits to 2 organizations: Legacy Family Care PLLC (Farmington Hills, MI) and S Park-Davis Healthcare (Novi, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Koza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Koza accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Heather Koza 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 Heather Koza affiliated with any hospitals?

According to CMS data, Heather Koza is affiliated with Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Heather Koza was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.