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DR. PAUL KOSSIS O.D.
NPI 1194892455
Optometrist in Haddon Heights, NJ

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
105 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035(856) 547-1339(856) 546-8136 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Kossis O.d. NPPES

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

DR. PAUL KOSSIS O.D. (NPI 1194892455) is an individual optometrist in Haddon Heights, New Jersey, licensed in New Jersey (27OA00558400) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1996).

NPPES Registry Identity

NPI1194892455
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL KOSSISCredential: O.D.
Location Address105 WHITE HORSE PIKEHaddon Heights, NJ 08035-1909
Mailing Address105 White Horse PikeHaddon Heights, NJ 08035-1909 · (856) 547-1339 · Fax (856) 546-8136
Phone(856) 547-1339
Fax(856) 546-8136
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1996
Enumeration DateNovember 29, 2006
Last NPPES UpdateSeptember 8, 2011
✔ NPI 1194892455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NJ · 27OA00558400
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 27OA00558400 (NJ)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 27OA00558400 (NJ)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 27OA00558400 (NJ)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 27OA00558400 (NJ)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 27OA00558400 (NJ)
105 WHITE HORSE PIKE, Haddon Heights, NJ 08035
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Other Identifiers 3

Medicare ID-Type Unspecified029796NJ
Medicare UPINU65010NJ
Medicaid7849303NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Louisiana 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

Dr. Paul Kossis O.d. 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 ID7618939190
PECOS Enrollment IDI20041027000783
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 7

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
321 services211 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
296 services207 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
73 services67 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
35 services35 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
24 services16 patients
Measurement of eye artery pressure 92260
Measurement of eye artery pressure, also known as ocular blood flow, helps assess the amount of blood reaching your eyes. It's crucial for maintaining healthy eyesight. A special device gently touches your eye to measure the pressure. It's a painless, quick procedure.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08035 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%64 patients5/55-star benchmark: 100%
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.

HADDON FAMILY EYE CARE, LLC
Optometrist
105 WHITE HORSE PIKE
HADDON HEIGHTS, NJ 08035
Camden County (856) 547-1339

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 Paul Kossis's NPI number?

The NPI number for Paul Kossis is 1194892455. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Paul Kossis located?

Paul Kossis practices at 105 White Horse Pike, Haddon Heights, NJ 08035. The listed phone number is (856) 547-1339.

What is Paul Kossis's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Paul Kossis enrolled in Medicare?

Yes. Paul Kossis 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 Paul Kossis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 3 other insurers list Paul Kossis 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.

When was this NPI record last updated?

The NPPES record for Paul Kossis was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.