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JUSTIN KOSIROG
NPI 1255726238
Internal Medicine - Gastroenterology in Oklahoma City, OK

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
85.09/100
CMS Quality Rating
800 STANTON L YOUNG BLVD # WP1345, OKLAHOMA CITY, OK 73104(405) 271-5428 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Kosirog NPPES

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

JUSTIN KOSIROG (NPI 1255726238) is an individual gastroenterology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (35686) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1255726238
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJUSTIN KOSIROG
Location Address800 STANTON L YOUNG BLVD # WP1345Oklahoma City, OK 73104-5018
Mailing Address800 Stanton L Young Blvd # Wp1345Oklahoma City, OK 73104-5018 · (405) 271-5428
Phone(405) 271-5428
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1255726238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OK · 35686
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 STANTON L YOUNG BLVD # WP1345, Oklahoma City, OK 73104
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Secondary Practice Location 1

Location 11740 W Taylor StChicago, IL 60612-7232 · Phone (866) 600-2273

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

Justin Kosirog 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 ID9739499922
PECOS Enrollment IDI20230525001819
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
141 services89 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
71 services69 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
70 services69 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
63 services60 patients
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.
60 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
55 services55 patients

Hospital Affiliations CMS Care Compare 3

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Presence Saint Joseph Hospital - Elgin

Acute Care Hospitals · Elgin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140217
Location77 N Airlite StreetElgin, IL 60123 · Kane County
Emergency services

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

85.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.16
Promoting Interoperability99
Improvement Activities40
Cost77.98

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.

VINCENT SAMI PETROS DO
Internal Medicine (Gastroenterology)
800 STANTON L YOUNG BLVD # WP1345
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5428
DR. HASHROOP KAUR GURM M.D.
Internal Medicine (Gastroenterology)
800 STANTON L YOUNG BLVD # WP1345
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4528

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 Justin Kosirog's NPI number?

The NPI number for Justin Kosirog is 1255726238. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Justin Kosirog located?

Justin Kosirog practices at 800 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104. The listed phone number is (405) 271-5428.

What is Justin Kosirog's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Justin Kosirog enrolled in Medicare?

Yes. Justin Kosirog 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.

Is Justin Kosirog affiliated with any hospitals?

According to CMS data, Justin Kosirog is affiliated with Advocate Sherman Hospital, Presence Saint Joseph Hospital - Elgin and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Kosirog was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.