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DR. JACOB KOZACKI DO
NPI 1396205878
Family Medicine in Florence, SC

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
1594 FREEDOM BLVD STE 202, FLORENCE, SC 29505(843) 664-9696 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2024, Mar 21, 2019 (2 updates tracked since 2019).

About Dr. Jacob Kozacki Do NPPES

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

DR. JACOB KOZACKI DO (NPI 1396205878) is an individual family medicine provider in Florence, South Carolina, licensed in South Carolina (82166) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (2019).

NPPES Registry Identity

NPI1396205878
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACOB KOZACKICredential: DO
Location Address1594 FREEDOM BLVD STE 202Florence, SC 29505-6046
Mailing Address1594 Freedom Blvd Ste 202Florence, SC 29505-6046 · (843) 664-9696
Phone(843) 664-9696
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2019
Enumeration DateMarch 21, 2019
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1396205878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 82166
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1594 FREEDOM BLVD STE 202, Florence, SC 29505
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob Kozacki Do 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 ID6204166069
PECOS Enrollment IDI20220822003404
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacob Kozacki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Musc Community Physicians
94 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
St Francis Physician Services Inc
148 mi
Obstetrics & Gynecology
210 LADEAN CT
Simpsonville, SC 29680
  • Reassigned Medicare billing, South Carolina enrollment
  • 248 clinicians in this Medicare group
NPI 1013273747 (864) 962-9945

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
267 services142 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
132 services99 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.
45 services45 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Musc Health Marion Medical Center

Acute Care Hospitals · Mullins, SC
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420055
Location2829 E Hwy 76Mullins, SC 29574 · Marion County
Emergency services

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29505 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

IRIS DIANA IGNACIO MD
Family Medicine
1594 FREEDOM BLVD STE 202
FLORENCE, SC 29505
Florence County (843) 644-9696
FRANCES MICHELLE ALLEN STRICKLAND APRN
Nurse Practitioner
1594 FREEDOM BLVD STE 202
FLORENCE, SC 29505
Florence County (843) 664-9696

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 Jacob Kozacki's NPI number?

The NPI number for Jacob Kozacki is 1396205878. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is Jacob Kozacki located?

Jacob Kozacki practices at 1594 Freedom Blvd Ste 202, Florence, SC 29505. The listed phone number is (843) 664-9696.

What is Jacob Kozacki's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacob Kozacki enrolled in Medicare?

Yes. Jacob Kozacki 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.

Which organizations bill Medicare for Jacob Kozacki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Kozacki reassigns Medicare benefits to 2 organizations: Musc Community Physicians (Bamberg, SC) and St Francis Physician Services Inc (Simpsonville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Kozacki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Kozacki accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Jacob Kozacki 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 Jacob Kozacki affiliated with any hospitals?

According to CMS data, Jacob Kozacki is affiliated with Musc Medical Center, Musc Health Marion Medical Center and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Kozacki was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.