Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDRIY KOSTYUK MD
NPI 1225659253
Pathology - Anatomic Pathology & Clinical Pathology in Lafayette, IN

Q: What is Andriy Kostyuk's NPI number?

The NPI number for Andriy Kostyuk is 1225659253. It was assigned to this individual provider in the NPPES registry on April 30, 2020.

Q: What is Andriy Kostyuk's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Andriy Kostyuk was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since April 30, 2020PECOS Enrolled

5165 MCCARTY LN, LAFAYETTE, IN 47905(765) 448-8000 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Andriy Kostyuk Md NPPES

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

ANDRIY KOSTYUK MD (NPI 1225659253) is an individual anatomic pathology & clinical pathology provider in Lafayette, Indiana, licensed in Indiana (01095810A) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225659253

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameANDRIY KOSTYUKCredential: MD

Location Address5165 MCCARTY LNLafayette, IN 47905-8764

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(765) 448-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 30, 2020

Last NPPES UpdateSeptember 1, 2026

NPPES CertifiedSeptember 1, 2026

✔ NPI 1225659253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in IN · 01095810A

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5165 MCCARTY LN, Lafayette, IN 47905

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Secondary Practice Location 1

Location 1350 W 11th St Fl 4Indianapolis, IN 46202-4108 · Phone (317) 491-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andriy Kostyuk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870057623

PECOS Enrollment IDI20260713001338

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 47905 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

DANI'EL N MCKILLIP RN

Registered Nurse (Obstetric, Inpatient)