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NICOLE POLIDORI KOSKI OD
NPI 1417987603
Optometrist in Sterling Hts, MI

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
13400 E 15 MILE RD, STERLING HTS, MI 48312(586) 939-1122(586) 939-9328 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Polidori Koski Od NPPES

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

NICOLE POLIDORI KOSKI OD (NPI 1417987603) is an individual optometrist in Sterling Hts, Michigan, licensed in Michigan (4901003891) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1997).

NPPES Registry Identity

NPI1417987603
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNICOLE POLIDORI KOSKICredential: OD
Location Address13400 E 15 MILE RDSterling Hts, MI 48312
Mailing Address13400 E 15 Mile RdSterling Hts, MI 48312 · (586) 939-1122 · Fax (586) 939-9328
Phone(586) 939-1122
Fax(586) 939-9328
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1997
Enumeration DateJuly 3, 2006
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1417987603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901003891
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
13400 E 15 MILE RD, Sterling Hts, MI 48312
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Other Identifiers 4

Medicare PINE06563002MI
Other0166710001MI · Adminastar Federal
Medicare UPINU93700
Other410046052MI · Medicare Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.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

Nicole Polidori Koski Od 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 ID1951291574
PECOS Enrollment IDI20040317001321
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48312 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Nicole Koski's NPI number?

The NPI number for Nicole Koski is 1417987603. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Nicole Koski located?

Nicole Koski practices at 13400 E 15 Mile Rd, Sterling Hts, MI 48312. The listed phone number is (586) 939-1122.

What is Nicole Koski's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicole Koski enrolled in Medicare?

Yes. Nicole Koski 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 Nicole Koski accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 7 other insurers list Nicole Koski 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 Nicole Koski was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.