TOMASZ A KOSIERKIEWICZ X MD NPI 1487645776
Psychiatry & Neurology - Neurology in Mount Vernon, IL
About TOMASZ A KOSIERKIEWICZ X MD
Tomasz Kosierkiewicz is a provider established in Mount Vernon, Illinois and his medical specialization is Psychiatry & Neurology with a focus in neurology with more than 34 years of experience. The NPI number of this provider is 1487645776 and was assigned on November 2005. The practitioner's primary taxonomy code is 2084N0400X with license number 036104826 (IL). The provider is registered as an individual and his NPI record was last updated 11 years ago.
| NPI | 1487645776 |
| Provider Name | TOMASZ A KOSIERKIEWICZ X MD |
| Location Address | 2605 MAIN ST MOUNT VERNON, IL 62864 |
| Location Phone | (618) 242-7350 |
| Mailing Address | PO BOX 2277 MOUNT VERNON, IL 62864 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1989 |
| Is Sole Proprietor? | No |
| Enumeration Date | 11-04-2005 |
| Last Update Date | 02-21-2012 |
Tomasz Kosierkiewicz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Tomasz Kosierkiewicz is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .
The typical physician office visit costs for Medicare beneficiaries in this area are: $33.02 for a new patient copayment and $25.37 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 2084N0400X |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Neurology |
| License No. | 036104826 |
| License State | IL |
| Taxonomy Description | A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Blue Cross Blue Shield
- Medicaid
- Medicare
- Railroad Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
2605 MAIN ST
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-7350
Mailing Address
PO BOX 2277
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-7350
Fax: (618) 242-7651
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 2668638537 |
| PECOS Enrollment ID | I20120720000576 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 62864 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.93 | $174.63 | $132.1 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.23 | $43.65 | $33.02 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.32 | $142.11 | $101.49 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.33 | $35.52 | $25.37 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 31Measurement and recording of brain wave (eeg) activity, awake and drowsy (HCPCS:95816)
- 13Ct scan head or brain (HCPCS:70450)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 463609 | OTHER (01) | IL | HEALTHLINK |
| 078159 | OTHER (01) | IL | HEALTH ALLIANCE |
| 0361048261 | MEDICAID (05) | IL | |
| H46105 | MEDICARE UPIN (02) | ||
| 04130321 | OTHER (01) | IL | BCBS |
| 917870 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 130024619 | OTHER (01) | IL | RAILROAD MEDICARE |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 8 | 7 | 6 | 4 | 5 | 7 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 12 | 4 | 10 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 2 + 4 + 1 + 0 + 7 + 1 + 4 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1487645776 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053418780 | DR. ANTON SCHITTEK M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2605 MAIN ST MOUNT VERNON, IL 62864 (618) 244-0050 |
| 1003005463 | KING CITY SURGERY CENTER, S.C. Organization | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2605 MAIN ST MOUNT VERNON, IL 62864 (618) 244-0050 |
| 1720079015 | MT VERNON NEUROLOGY, S.C. Organization | Psychiatry & Neurology (Neurology) | 2605 MAIN ST MOUNT VERNON, IL 62864 (618) 242-7350 |
Frequently Asked Questions
What is Tomasz Kosierkiewicz X MD NPI number?
The NPI number assigned to this healthcare provider is 1487645776, registered as an "individual" on November 04, 2005
Where is Tomasz Kosierkiewicz X MD located?
The provider is located at 2605 Main St Mount Vernon, Il 62864 and the phone number is (618) 242-7350
Which is Tomasz Kosierkiewicz X MD specialty?
The provider's speciality is Psychiatry & Neurology with a focus in Neurology
How many years of experience does Tomasz Kosierkiewicz X MD have?
The provider has more than 34 years of experience.
What insurance does Tomasz Kosierkiewicz X MD accept?
The provider might be accepting Blue Cross Blue Shield, Medicaid, Medicare and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Tomasz Kosierkiewicz X MD registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Tomasz Kosierkiewicz X MD?
Medicare beneficiaries should expect a typical cost of $132.1 with an average copayment of $33.02 for new patient appointments. Established patients should expect a typical charge of $101.49 and an average copayment of 25.37. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Tomasz Kosierkiewicz X MD?
The most common procedures or services performed by this practitioner are: Measurement and recording of brain wave (eeg) activity, awake and drowsy and Ct scan head or brain.
How do I update my NPI information?
The NPI record of Tomasz Kosierkiewicz X MD was last updated on November 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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