PAUL KENT KOSMATKA
NPI 1619901287
Orthopaedic Surgery in Duluth, MN

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: May 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Kent Kosmatka NPPES

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

PAUL KENT KOSMATKA (NPI 1619901287) is an individual orthopaedic surgery provider in Duluth, Minnesota, licensed in Minnesota (40734) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (1992).

NPPES Registry Identity

NPI1619901287
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NamePAUL KENT KOSMATKA
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1992
Enumeration DateJuly 10, 2006
Last NPPES UpdateMay 10, 2011
NPI 1619901287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MN · 40734
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
400 E 3RD ST, Duluth, MN 55805

Other Identifiers 4

Medicare PIN200002405MN
Medicare UPING77964
Medicaid807817300MN
Medicaid34159400WI

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

Paul Kent Kosmatka 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 ID6800829938
PECOS Enrollment IDI20051013000478
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

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.

Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
Internal Medicine
400 E 3RD ST
DULUTH, MN 55805

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 Paul Kosmatka's NPI number?

The NPI number for Paul Kosmatka is 1619901287. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Paul Kosmatka located?

Paul Kosmatka practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Paul Kosmatka's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paul Kosmatka enrolled in Medicare?

Yes. Paul Kosmatka 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.

What insurance does Paul Kosmatka accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Paul Kosmatka 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 Paul Kosmatka affiliated with any hospitals?

According to CMS data, Paul Kosmatka is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Virginia and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Paul Kosmatka was last updated on May 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.