MISTY MARIE KOSYDAR MD
NPI 1487125514
Emergency Medicine in Greenville, NC

Q: What is Misty Kosydar's NPI number?

The NPI number for Misty Kosydar is 1487125514. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Q: What is Misty Kosydar's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Misty Kosydar was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment

2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 744-4757(252) 744-5014 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2026, Jan 22, 2026, Apr 21, 2022 and 1 more (4 updates tracked since 2018).

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About Misty Marie Kosydar Md NPPES

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

MISTY MARIE KOSYDAR MD (NPI 1487125514) is an individual emergency medicine provider in Greenville, North Carolina, licensed in North Carolina (2025-03549) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1487125514

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMISTY MARIE KOSYDARCredential: MD

Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818

Mailing AddressPo Box 751069Charlotte, NC 28275-1069

Phone(252) 744-4757

Fax(252) 744-5014

Sole ProprietorYes

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2022

Enumeration DateDecember 16, 2018

Last NPPES UpdateFebruary 6, 20264 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1487125514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NC · 2025-03549

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2100 STANTONSBURG RD, Greenville, NC 27834

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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-8311

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.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

Misty Marie Kosydar 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 ID2860871548

PECOS Enrollment IDI20260206003092, I20260330001540

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

Medicare enrollment records show Misty Kosydar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vidant Medical Group LLC

Same address

Multi-Specialty

2100 STANTONSBURG RD
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
1,653 clinicians in this Medicare group

NPI 1477648731 (252) 847-2181

East Carolina University

0.2 mi

General Practice

600 MOYE BLVD
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
930 clinicians in this Medicare group

NPI 1689815284 (252) 744-4618

Pikeville Medical Center Inc.

312 mi

Multi-Specialty

911 BYPASS RD BLDG A
Pikeville, KY 41501

Reassigned Medicare billing, Kentucky enrollment
579 clinicians in this Medicare group

NPI 1528195864 (606) 430-3500

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

Hospital Affiliations CMS Care Compare 2

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340040

Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

DR. STEPHEN ERIC GREGG M.D.

Student in an Organized Health Care Education/Training Program