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

DR. STEPHEN E KOZELKO JR. DDS
NPI 1255381893
Dentist - General Practice in Traverse City, MI

Active since May 12, 2006PECOS Enrolled
13300 S WEST BAY SHORE DR, SUITE 1, TRAVERSE CITY, MI 49684(231) 946-0207(231) 946-1004 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stephen E Kozelko Jr. Dds NPPES

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

DR. STEPHEN E KOZELKO JR. DDS (NPI 1255381893) is an individual general practice provider in Traverse City, Michigan, licensed in Michigan (11079) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255381893
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STEPHEN E KOZELKO JR.Credential: DDS
Location Address13300 S WEST BAY SHORE DR, SUITE 1Traverse City, MI 49684-5571
Mailing Address13300 S West Bay Shore Dr, Suite 1Traverse City, MI 49684-5571 · (231) 946-0207 · Fax (231) 946-1004
Phone(231) 946-0207
Fax(231) 946-1004
Sole ProprietorNo
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1255381893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 11079
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
13300 S WEST BAY SHORE DR, Traverse City, MI 49684
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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 (PECOS)

Dr. Stephen E Kozelko Jr. Dds 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 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

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

DR. FRANK C RUGANI DDS
Dentist (General Practice)
13300 S WEST BAY SHORE DR, SUITE 1
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-0207
GRACE KEILTY LLPC
Counselor (Mental Health)
13300 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 600-2845

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 Stephen Kozelko's NPI number?

The NPI number for Stephen Kozelko is 1255381893. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Stephen Kozelko located?

Stephen Kozelko practices at 13300 S West Bay Shore Dr Suite 1, Traverse City, MI 49684. The listed phone number is (231) 946-0207.

What is Stephen Kozelko's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Stephen Kozelko enrolled in Medicare?

Yes. Stephen Kozelko is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Kozelko was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 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.