DR. KEVIN KOSEK M. D.
NPI 1356551691
Ophthalmology in Madison, MS

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
87.88/100
CMS Quality Rating
501 BAPTIST DR STE 220, MADISON, MS 39110(601) 985-9120(601) 985-9122 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Sep 15, 2017 (2 updates tracked since 2017).

About Dr. Kevin Kosek M. D. NPPES

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

DR. KEVIN KOSEK M. D. (NPI 1356551691) is an individual ophthalmology provider in Madison, Mississippi, licensed in Mississippi (20492) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center Attala, and is a graduate of University Of Alabama School Of Medicine (2006).

NPPES Registry Identity

NPI1356551691
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KEVIN KOSEKCredential: M. D.
Location Address501 BAPTIST DR STE 220Madison, MS 39110-2031
Mailing Address501 Baptist Dr Ste 220Madison, MS 39110-2031 · (601) 985-9120 · Fax (601) 985-9122
Fax(601) 985-9122
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2006
Enumeration DateMay 23, 2007
Last NPPES UpdateOctober 22, 20242 updates tracked since enumeration
NPPES CertifiedOctober 22, 2024
NPI 1356551691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MS · 20492 Licensed in MS · T-1953
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
501 BAPTIST DR STE 220, Madison, MS 39110

Other Identifiers 3

Other123322AL · Alabama Medicaid
OtherDN2775MS · Medicare Railroad-group
Medicaid08520364MS

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. Kevin Kosek 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 ID5193858884
PECOS Enrollment IDI20100802000519
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 12

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
953 services804 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
409 services228 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
339 services202 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
335 services199 patients
Insertion of drug delivery implant into tear duct of eye 68841
This procedure involves placing a small implant into your tear duct. The implant slowly releases medication to your eye, helping manage conditions like dry eyes or glaucoma. It's a simple, quick procedure typically performed under local anesthesia.
273 services167 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
214 services214 patients

Hospital Affiliations CMS Care Compare

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

Baptist Medical Center Attala

Critical Access Hospitals · Kosciusko, MS
OwnershipVoluntary non-profit - Other
CMS Certification Number251336
Location220 Hwy 12 WestKosciusko, MS 39090 · Attala County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39110 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

87.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost59.62

Reported Quality Measures

Diabetes: Eye Exam
100%349 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,341 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%1,425 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
100%20 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%210 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,500 patients
Patients totalRate: 0% · 1,500 patients
0%1,500 patients5/55-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.

Other Providers at the Same Location NPPES 8

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

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
501 BAPTIST DR STE 220
MADISON, MS 39110
Clinic/Center (Ophthalmologic Surgery)
501 BAPTIST DR STE 220
MADISON, MS 39110
Ophthalmology
501 BAPTIST DR STE 220
MADISON, MS 39110
Ophthalmology (Glaucoma Specialist)
501 BAPTIST DR STE 220
MADISON, MS 39110
Ophthalmology (Cornea and External Diseases Specialist)
501 BAPTIST DR STE 220
MADISON, MS 39110
Ophthalmology
501 BAPTIST DR STE 220
MADISON, MS 39110
Ophthalmology
501 BAPTIST DR STE 220
MADISON, MS 39110
Ophthalmology
501 BAPTIST DR STE 220
MADISON, MS 39110

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 Kevin Kosek's NPI number?

The NPI number for Kevin Kosek is 1356551691. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Kevin Kosek located?

Kevin Kosek practices at 501 Baptist Dr Ste 220, Madison, MS 39110. The listed phone number is (601) 985-9120.

What is Kevin Kosek's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kevin Kosek enrolled in Medicare?

Yes. Kevin Kosek 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 Kevin Kosek accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Kevin Kosek 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 Kevin Kosek affiliated with any hospitals?

According to CMS data, Kevin Kosek is affiliated with Baptist Medical Center Attala.

When was this NPI record last updated?

The NPPES record for Kevin Kosek was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.