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THOMAS ANDREW KOROSCIL
NPI 1588058408
Hospitalist in Dayton, OH

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
128 E APPLE ST, 2ND FLOOR, DAYTON, OH 45409(937) 208-2004(937) 208-8828 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2023, Jan 19, 2021, Apr 24, 2018 and 2 more (5 updates tracked since 2017).

About Thomas Andrew Koroscil NPPES

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

THOMAS ANDREW KOROSCIL (NPI 1588058408) is an individual hospitalist provider in Dayton, Ohio, licensed in Ohio (35.132209) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1588058408
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTHOMAS ANDREW KOROSCIL
Location Address128 E APPLE ST, 2ND FLOORDayton, OH 45409-2902
Mailing Address128 E Apple St, 2nd FloorDayton, OH 45409-2902 · (937) 208-2004 · Fax (937) 208-8828
Phone(937) 208-2004
Fax(937) 208-8828
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 28, 2015
Last NPPES UpdateMay 5, 20235 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
✔ NPI 1588058408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.132209
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.132209 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
128 E APPLE ST, Dayton, OH 45409
Open in Google Maps ↗

Secondary Practice Locations 2

Location 130 E Apple St Ste Nw3300Dayton, OH 45409-2939 · Phone (937) 208-8394 · Fax (937) 208-8388
Location 23535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-6665 · Fax (937) 395-6668

Other Identifiers 1

Medicaid0249382OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and more.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

Thomas Andrew Koroscil 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 ID1951615749
PECOS Enrollment IDI20171114002634
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

6

Medicare enrollment records show Thomas Koroscil reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mvhe Inc
0.3 mi
Hospitalist
1 WYOMING ST, STE SE 3100B
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1356394795 (937) 208-8394
Kettering Independent Medical Group Inc
8.1 mi
Orthopaedic Surgery
1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342
  • Reassigned Medicare billing, Ohio enrollment
  • 984 clinicians in this Medicare group
NPI 1629387865 (937) 762-1629
Ohiohealth Corporation
64 mi
Family Medicine
3535 OLENTANGY RIVER RD
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1578545273 (614) 533-5500
Ascension Medical Group-Southeast Wisconsin Inc
299 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Ascension NE Wisconsin, Inc
372 mi
General Acute Care Hospital
500 S OAKWOOD RD
Oshkosh, WI 54904
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
NPI 1912527193 (920) 223-2000
Ascension Medical Group-Fox Valley Wisconsin, Inc
377 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200

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

Areas of Expertise CMS Part B claims 5

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

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
85 services50 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
54 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360368
Location600 West Main StreetTroy, OH 45373 · Miami County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$14.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier29 claims29 services$70.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

ALIA M RADWAN M.D.
Student in an Organized Health Care Education/Training Program
128 E APPLE ST, 3800
DAYTON, OH 45409
Montgomery County (937) 208-6272
DR. HALEY BROOKE EHRLICH MD
Student in an Organized Health Care Education/Training Program
128 E APPLE ST
DAYTON, OH 45409
Montgomery County (904) 476-2321
JULIA PAULET MD
Student in an Organized Health Care Education/Training Program
128 E APPLE ST, SUITE 3800 WRIGHT STATE UNIVERSITY DEPT. OF OB/GYN
DAYTON, OH 45409
Montgomery County (937) 208-2287
CORINNA JENISE CRAYTON MD
Surgery
128 E APPLE ST, WCHE 7TH FLOOR
DAYTON, OH 45409
Montgomery County (850) 596-4224
INDRANI BANERJEE DO
Internal Medicine
128 E APPLE ST, 2ND FLOOR
DAYTON, OH 45409
Montgomery County (937) 208-2866
JONATHAN CRAIG MARKLE MD
Internal Medicine
128 E APPLE ST
DAYTON, OH 45409
Montgomery County (937) 208-2866
EDWARD SAMUEL ROBERTO
Internal Medicine
128 E APPLE ST, 2ND FLOOR
DAYTON, OH 45409
Montgomery County (937) 208-2004
DR. ROOPA DHAWAN GANDHI M.D.
Internal Medicine
128 E APPLE ST
DAYTON, OH 45409
Montgomery County (937) 208-2866

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 Thomas Koroscil's NPI number?

The NPI number for Thomas Koroscil is 1588058408. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is Thomas Koroscil located?

Thomas Koroscil practices at 128 E Apple St 2nd Floor, Dayton, OH 45409. The listed phone number is (937) 208-2004.

What is Thomas Koroscil's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Thomas Koroscil enrolled in Medicare?

Yes. Thomas Koroscil 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.

Which organizations bill Medicare for Thomas Koroscil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Koroscil reassigns Medicare benefits to 6 organizations: Mvhe Inc (Dayton, OH), Kettering Independent Medical Group Inc (Miamisburg, OH), Ohiohealth Corporation (Columbus, OH), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Ascension NE Wisconsin, Inc (Oshkosh, WI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Koroscil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Koroscil accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Oscar Health Insurance list Thomas Koroscil 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.

Is Thomas Koroscil affiliated with any hospitals?

According to CMS data, Thomas Koroscil is affiliated with Kettering Health Main Campus, Kettering Health Dayton and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Thomas Koroscil was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.