DR. K. ERIK KOSTELNIK M.D.
NPI 1346289683
Dermatology in Portland, ME

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
50 SEWALL ST, PORTLAND, ME 04102(207) 775-3526(207) 775-5658 Get Directions Write a Review

NPPES record last updated: October 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. K. Erik Kostelnik M.d. NPPES

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

DR. K. ERIK KOSTELNIK M.D. (NPI 1346289683) is an individual dermatology provider in Portland, Maine, licensed in Maine (014713) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1992).

NPPES Registry Identity

NPI1346289683
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. K. ERIK KOSTELNIKCredential: M.D.
Location Address50 SEWALL STPortland, ME 04102-2624
Mailing Address50 Sewall StPortland, ME 04102-2624 · (207) 775-3526 · Fax (207) 775-5658
Fax(207) 775-5658
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1992
Enumeration DateJune 5, 2006
Last NPPES UpdateOctober 16, 2008
NPI 1346289683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in ME · 014713
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

50 SEWALL ST, Portland, ME 04102

Other Identifiers 4

Medicare UPING33955ME
Medicare PINMM723201ME
Medicare ID-Type UnspecifiedMM7232ME
Medicaid431499999ME

Accepted 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

Dr. K. Erik Kostelnik 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 ID9537104872
PECOS Enrollment IDI20050627000899
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 14

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
973 services260 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.
599 services525 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
469 services377 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
282 services245 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
197 services184 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
185 services167 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$70.13 typical visit price
range $18.22 – $138.92
Typical copayment $17.53 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
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.

Dermatology (MOHS-Micrographic Surgery)
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Physician Assistant (Medical)
50 SEWALL ST, SUITE 301
PORTLAND, ME 04102
Physician Assistant
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Nurse Practitioner (Adult Health)
50 SEWALL ST
PORTLAND, ME 04102
Dermatology
50 SEWALL ST
PORTLAND, ME 04102
Nurse Practitioner (Family)
50 SEWALL ST
PORTLAND, ME 04102

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 K. Erik Kostelnik's NPI number?

The NPI number for K. Erik Kostelnik is 1346289683. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is K. Erik Kostelnik located?

K. Erik Kostelnik practices at 50 Sewall St, Portland, ME 04102. The listed phone number is (207) 775-3526.

What is K. Erik Kostelnik's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is K. Erik Kostelnik enrolled in Medicare?

Yes. K. Erik Kostelnik 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 K. Erik Kostelnik accept?

Health plans from Anthem Blue Cross and Blue Shield list K. Erik Kostelnik 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 K. Erik Kostelnik was last updated on October 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.