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DR. ALEXANDER KOSENKO M.D.
NPI 1356386817
Internal Medicine - Nephrology in Erie, PA

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment
350 E BAYFRONT PKWY, UNIT C, ERIE, PA 16507(814) 455-2279(814) 871-1786 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Alexander Kosenko M.d. NPPES

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

DR. ALEXANDER KOSENKO M.D. (NPI 1356386817) is an individual nephrology provider in Erie, Pennsylvania, licensed in Pennsylvania (MD033699E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1356386817
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ALEXANDER KOSENKOCredential: M.D.
Location Address350 E BAYFRONT PKWY, UNIT CErie, PA 16507-2410
Mailing Address350 E Bayfront Pkwy, Unit CErie, PA 16507-2410 · (814) 455-2279 · Fax (814) 871-1786
Phone(814) 455-2279
Fax(814) 871-1786
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 18, 2006
Last NPPES UpdateNovember 30, 2007
✔ NPI 1356386817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in PA · MD033699E✔ Licensed in OH · 35068000
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
350 E BAYFRONT PKWY, Erie, PA 16507
Open in Google Maps ↗

Other Identifiers 4

Medicaid0010200620005PA
Medicare UPINB40351
Other1356386817PA · Railroad Medicare
Medicare ID-Type Unspecified161500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Alexander Kosenko 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 ID7315930823
PECOS Enrollment IDI20101201000127
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 4

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
219 services41 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
166 services30 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
78 services37 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
25 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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…
46%418 patients2/55-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…
95%135 patients4/55-star benchmark: 100%
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 2

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

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers11 claims11 services$13.86 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers12 claims12 services$12.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MS. KIMBERLY ANN CROWL R.D.
Dietitian, Registered
350 E BAYFRONT PKWY, UNIT C
ERIE, PA 16507
Erie County (814) 455-2279
DVA HEALTHCARE RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
350 E BAYFRONT PKWY, STE A
ERIE, PA 16507
Erie County (814) 454-0480
BAYVIEW NEPHROLOGY, INC.
Internal Medicine (Nephrology)
350 E BAYFRONT PKWY, UNIT C
ERIE, PA 16507
Erie County (814) 455-2279
DR. ASIM RANJAN SINGH M.D.
Internal Medicine (Nephrology)
350 E BAYFRONT PKWY, UNIT C
ERIE, PA 16507
Erie County (814) 455-2279
DR. PETER PAUL BARZYK III M.D.
Internal Medicine (Nephrology)
350 E BAYFRONT PKWY, UNIT C
ERIE, PA 16507
Erie County (814) 455-2279
DR. REKHA DINKER HALLIGAN M.D., PH.D.
Internal Medicine (Nephrology)
350 E BAYFRONT PKWY, UNIT C
ERIE, PA 16507
Erie County (814) 455-2279

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 Alexander Kosenko's NPI number?

The NPI number for Alexander Kosenko is 1356386817. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Alexander Kosenko located?

Alexander Kosenko practices at 350 E Bayfront Pkwy Unit C, Erie, PA 16507. The listed phone number is (814) 455-2279.

What is Alexander Kosenko's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Alexander Kosenko enrolled in Medicare?

Yes. Alexander Kosenko 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 Alexander Kosenko accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Alexander Kosenko 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 Alexander Kosenko was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.