SPENCER I KOZINN M.D.
NPI 1265603633
Urology in Atlanta, GA

Q: What is Spencer Kozinn's NPI number?

The NPI number for Spencer Kozinn is 1265603633. It was assigned to this individual provider in the NPPES registry on March 13, 2008.

Q: What is Spencer Kozinn's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Spencer Kozinn was last updated on May 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 13, 2008PECOS EnrolledAccepts Medicare Assignment

98.5/100

CMS Quality Rating

1800 HOWELL MILL RD NW, SUITE 500, ATLANTA, GA 30318(404) 240-9700(404) 240-9701 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Spencer I Kozinn M.d. NPPES

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

SPENCER I KOZINN M.D. (NPI 1265603633) is an individual urology provider in Atlanta, Georgia, licensed in Georgia (071836) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and is a graduate of Emory University School Of Medicine (2007).

NPPES Registry Identity

NPI1265603633

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameSPENCER I KOZINNCredential: M.D.

Location Address1800 HOWELL MILL RD NW, SUITE 500Atlanta, GA 30318-2538

Mailing Address1800 Howell Mill Rd Nw, Suite 500Atlanta, GA 30318-2538 · (404) 240-9700 · Fax (404) 240-9701

Phone(404) 240-9700

Fax(404) 240-9701

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 2007

Enumeration DateMarch 13, 2008

Last NPPES UpdateMay 7, 2014

✔ NPI 1265603633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in GA · 071836

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 232755 (MA)

1800 HOWELL MILL RD NW, Atlanta, GA 30318

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Spencer I Kozinn M.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 ID7416197439

PECOS Enrollment IDI20140711000816

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 21

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 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.

537 services430 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.

183 services183 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

160 services40 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

158 services119 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services45 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

45 services41 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

43 services43 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

43 services43 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

31 services31 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

30 services30 patients

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.

19 services13 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

17 services12 patients

Surgical removal of prostate and surrounding lymph nodes using an endoscope 55866

This is a minimally invasive procedure where a small camera (endoscope) is used to remove a gland located in the lower body and nearby small filtering structures. It's done to prevent the spread of unwanted cells and improve overall health.

17 services17 patients

Removal of lymph nodes of both sides of pelvis using an endoscope 38571

This procedure involves using a small camera (endoscope) to view and remove lymph nodes from both sides of your lower torso. Lymph nodes help filter harmful substances from the body. The procedure is done to prevent the spread of certain conditions.

15 services15 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

15 services15 patients

Removal of kidney and lymph nodes using an endoscope 50545

This procedure involves using an endoscope, a thin tube with a light and camera, to access and remove the kidney and nearby lymph nodes. It's typically performed to treat conditions like kidney disease or cancer. The method is less invasive, promoting quicker recovery.

14 services12 patients

Partial removal of kidney using an endoscope 50543

This procedure, also known as partial nephrectomy, involves the use of an endoscope to remove a portion of your kidney. It's typically done to treat kidney disease or remove a small tumor. The endoscope, a thin tube with a camera, allows the surgeon to see and operate without making a large incision.

13 services13 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

13 services13 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

13 services13 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.

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110074

Location1199 Prince AvenueAthens, GA 30606 · Clarke County

Birthing friendly

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110191

Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County

Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110215

Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County

Emergency services Birthing friendly

Piedmont Mountainside Hospital Inc

Acute Care Hospitals · Jasper, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110225

Location1266 Highway 515 SouthJasper, GA 30143 · Pickens County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30318 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

98.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

18%571 patients1/55-star benchmark: 100%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

53%418 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

55%573 patients3/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

64%593 patients3/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

1%567 patients1/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

60%70 patients3/55-star benchmark: 98%

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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

2 suppliers13 claims2,340 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers33 claims5,820 services$1.70 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

2 suppliers11 claims1,800 services$5.97 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

8 suppliers60 claims186 services$7.56 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

4 suppliers15 claims390 services$2.69 avg. paid by Medicare

Ostomy skin barrier, liquid (spray, brush, etc.), per oz A4369

DME-Orthotic Devices · category DF010N

3 suppliers11 claims25 services$2.34 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

PIEDMONT WEST AMBULATORY SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

1800 HOWELL MILL RD NW, SUITE 250
ATLANTA, GA 30318

Fulton County (404) 317-2694

MRS. ANNE COMPTON SYMBAS NP-C

Nurse Practitioner (Family)

1800 HOWELL MILL RD NW, SUITE 680
ATLANTA, GA 30318

Fulton County (404) 352-1730

JOSEPH A JOHNSON PA

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1800 HOWELL MILL RD NW, SUITE 450
ATLANTA, GA 30318

Fulton County (404) 355-4393

DALE CRAWFORD HOLLY MD

Internal Medicine (Gastroenterology)

1800 HOWELL MILL RD NW, SUITE 600
ATLANTA, GA 30318

Fulton County (404) 351-9512

MOREHOUSE HEALTHCARE, INC.

Internal Medicine

1800 HOWELL MILL RD NW, SUITE 275
ATLANTA, GA 30318

Fulton County (404) 756-1400

DIFRANCESCO PLASTIC SURGERY LLC

Surgery (Plastic and Reconstructive Surgery)

1800 HOWELL MILL RD NW, SUITE 400
ATLANTA, GA 30318

Fulton County (404) 377-3474

DR. LISA M. DIFRANCESCO M.D.

Plastic Surgery

1800 HOWELL MILL RD NW, SUITE 400
ATLANTA, GA 30318

Fulton County (404) 377-3474

MS. CATHERINE V FRANCIN PA-C

Physician Assistant

1800 HOWELL MILL RD NW, SUITE 600
ATLANTA, GA 30318

Fulton County (404) 351-9512

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 Spencer Kozinn's NPI number?

The NPI number for Spencer Kozinn is 1265603633. It was assigned to this individual provider in the NPPES registry on March 13, 2008.

Where is Spencer Kozinn located?

Spencer Kozinn practices at 1800 Howell Mill Rd NW Suite 500, Atlanta, GA 30318. The listed phone number is (404) 240-9700.

What is Spencer Kozinn's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Spencer Kozinn enrolled in Medicare?

Yes. Spencer Kozinn 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 Spencer Kozinn accept?

Health plans from Alliant Health Plans, Inc. list Spencer Kozinn 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.

Is Spencer Kozinn affiliated with any hospitals?

According to CMS data, Spencer Kozinn is affiliated with Piedmont Athens Regional Medical Center, Piedmont Hospital, Piedmont Henry Hospital, Piedmont Fayette Hospital and Piedmont Mountainside Hospital Inc.

When was this NPI record last updated?

The NPPES record for Spencer Kozinn was last updated on May 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.