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DR. GEORGE T KOBUROV M.D.
NPI 1205995008
Emergency Medicine - Pediatric Emergency Medicine in Columbia, MO

Active since December 07, 2006PECOS Enrolled
100/100
CMS Quality Rating
404 N KEENE ST, COLUMBIA, MO 65201(573) 875-9400(573) 874-1547 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2022, Aug 12, 2021, Mar 15, 2021 (3 updates tracked since 2021).

About Dr. George T Koburov M.d. NPPES

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

DR. GEORGE T KOBUROV M.D. (NPI 1205995008) is an individual pediatric emergency medicine provider in Columbia, Missouri, licensed in Missouri (2012015982) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205995008
Entity TypeIndividualMale
Primary Taxonomy207PP0204X
Provider Legal NameDR. GEORGE T KOBUROVCredential: M.D.
Location Address404 N KEENE STColumbia, MO 65201-6626
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Phone(573) 875-9400
Fax(573) 874-1547
Sole ProprietorNo
Enumeration DateDecember 7, 2006
Last NPPES UpdateSeptember 2, 20223 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
✔ NPI 1205995008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in MO · 2012015982
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
404 N KEENE ST, Columbia, MO 65201
Open in Google Maps ↗

Other Identifiers 1

Medicaid205647605MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. George T Koburov M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
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.

NATHAN K BECKETT MD
Pediatrics
404 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 882-4438
ALLISON RIECHMANN PHARMD
Pharmacist
404 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 499-6022
JESSICA A DORAN MD
Pediatrics
404 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 882-4438
MELISSA ANN HARNESS CNM
Midwife
404 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 499-6084
GINA L HARRIS APRN
Nurse Practitioner (Women's Health)
404 N KEENE ST, SUITE 301
COLUMBIA, MO 65201
Boone County (573) 499-6084
BRANDON J KOZINSKI DO
Pediatrics
404 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 882-4438
JOYCE L PATTON CRNA
Nurse Anesthetist, Certified Registered
404 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 445-7300
SCOTT T DOYLE CRNA
Nurse Anesthetist, Certified Registered
404 N KEENE ST
COLUMBIA, MO 65201
Boone County (573) 445-7300

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 George Koburov's NPI number?

The NPI number for George Koburov is 1205995008. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is George Koburov located?

George Koburov practices at 404 N Keene St, Columbia, MO 65201. The listed phone number is (573) 875-9400.

What is George Koburov's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is George Koburov enrolled in Medicare?

Yes. George Koburov is registered in the Medicare PECOS enrollment system.

What insurance does George Koburov accept?

Health plans from Medica list George Koburov 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 George Koburov was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.