SPENCER J KOSTINSKY MD
NPI 1508072513
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since May 15, 2007PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
245 S 8TH ST, PHILADELPHIA, PA 19106(215) 829-5514 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Spencer J Kostinsky Md NPPES

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

SPENCER J KOSTINSKY MD (NPI 1508072513) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD424781) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Pennsylvania Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2000).

NPPES Registry Identity

NPI1508072513
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSPENCER J KOSTINSKYCredential: MD
Location Address245 S 8TH STPhiladelphia, PA 19106-3520
Mailing Address245 S 8th StPhiladelphia, PA 19106-3520 · (215) 829-5514
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2000
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 14, 2014
NPI 1508072513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in PA · MD424781
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

245 S 8TH ST, Philadelphia, PA 19106

Accepted 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

Spencer J Kostinsky 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 ID9931275237
PECOS Enrollment IDI20080911000078
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
149 services30 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19106 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Psychiatry)
245 S 8TH ST, HALL MERCER CMHC
PHILADELPHIA, PA 19106
Psychologist (Clinical)
245 S 8TH ST
PHILADELPHIA, PA 19106
Social Worker (Clinical)
245 S 8TH ST, #306
PHILADELPHIA, PA 19106
Psychiatry & Neurology (Psychiatry)
245 S 8TH ST, 2ND FLOOR
PHILADELPHIA, PA 19106
Psychiatry & Neurology (Psychiatry)
245 S 8TH ST
PHILADELPHIA, PA 19106
Case Management
245 S 8TH ST
PHILA, PA 19106
Psychologist (Clinical)
245 S 8TH ST, OFFICE #138
PHILADELPHIA, PA 19106
Psychiatry & Neurology (Psychiatry)
245 S 8TH ST
PHILADELPHIA, PA 19106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508072513, enumerated as an "individual" on May 15, 2007.

The provider is located at 245 S 8TH ST PHILADELPHIA, PA 19106 and the phone number is (215) 829-5514.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Spencer Kostinsky is affiliated with: PENNSYLVANIA HOSPITAL.