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MICHAEL KOSTENKO MD
NPI 1467083980
Radiology - Diagnostic Radiology in Fort Benning, GA

Active since February 03, 2020PECOS EnrolledAccepts Medicare Assignment
6600 VAN AALST BLVD, FORT BENNING, GA 31905(253) 968-0117 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2026, Jun 18, 2025, Oct 26, 2022 and 1 more (4 updates tracked since 2020).

About Michael Kostenko Md NPPES

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

MICHAEL KOSTENKO MD (NPI 1467083980) is an individual diagnostic radiology provider in Fort Benning, Georgia, licensed in Nebraska (33779) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2020).

NPPES Registry Identity

NPI1467083980
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMICHAEL KOSTENKOCredential: MD
Location Address6600 VAN AALST BLVDFort Benning, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Benning, GA 31905-2102
Phone(253) 968-0117
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2020
Enumeration DateFebruary 3, 2020
Last NPPES UpdateMay 11, 20264 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1467083980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NE · 33779
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
6600 VAN AALST BLVD, Fort Benning, GA 31905
Open in Google Maps ↗

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

Michael Kostenko Md 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 ID3779925649
PECOS Enrollment IDI20251001001449
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.

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31905 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

DR. DAVID SORENSEN MD
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-0374
DR. THOMAS ALEXANDER O'HARA DO
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (624) 083-6697
DR. JOSHUA ALLEN WILSON MD
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-2273
ERIC HENDERSON
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3107
DR. STEVEN ELIOT REISSMAN D.O.
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (706) 544-3218
DR. ANTONIO ZIHERL D.O.
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-2604
DR. BROOKE KAHL CRNA
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Muscogee County (762) 408-3230
DR. CHARLES WARREN GILES MOUNTS
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Muscogee County (762) 408-3426

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 Michael Kostenko's NPI number?

The NPI number for Michael Kostenko is 1467083980. It was assigned to this individual provider in the NPPES registry on February 3, 2020.

Where is Michael Kostenko located?

Michael Kostenko practices at 6600 Van Aalst Blvd, Fort Benning, GA 31905. The listed phone number is (253) 968-0117.

What is Michael Kostenko's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Kostenko enrolled in Medicare?

Yes. Michael Kostenko 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.

Is Michael Kostenko affiliated with any hospitals?

According to CMS data, Michael Kostenko is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Mercy Regional Medical Center and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for Michael Kostenko was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.