MARY ELIZABETH COPELAND KOZAK DO
NPI 1689255028
Family Medicine in Newburgh, IN

Active since April 17, 2021PECOS EnrolledAccepts Medicare Assignment
100 ST MARYS EPWORTH XING # A300, NEWBURGH, IN 47630(812) 485-7752(812) 485-7753 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Aug 14, 2025, Jun 6, 2024 and 2 more (5 updates tracked since 2021).

About Mary Elizabeth Copeland Kozak Do NPPES

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

MARY ELIZABETH COPELAND KOZAK DO (NPI 1689255028) is an individual family medicine provider in Newburgh, Indiana, licensed in Illinois (036166884) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Evansville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689255028
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY ELIZABETH COPELAND KOZAKCredential: DO
Location Address100 ST MARYS EPWORTH XING # A300Newburgh, IN 47630-9497
Mailing Address100 St Marys Epworth Xing # A300Newburgh, IN 47630-9497 · (812) 485-7752 · Fax (812) 485-7753
Fax(812) 485-7753
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2021
Enumeration DateApril 17, 2021
Last NPPES UpdateFebruary 3, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1689255028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IL · 036166884 Licensed in IN · 02008517A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 ST MARYS EPWORTH XING # A300, Newburgh, IN 47630

Other Names 1

Former Name (1)Mary Elizabeth Copeland Do

Secondary Practice Locations 2

Location 1815 Main St Ste CPeoria, IL 61602-1080 · Phone (309) 672-4977
Location 2375 N Wall St Ste P310Kankakee, IL 60901-3484 · Phone (815) 933-0194

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

Mary Elizabeth Copeland Kozak Do 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 ID9234676438
PECOS Enrollment IDI20240806002107, I20250821000276
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Mary Kozak's NPI number?

The NPI number for Mary Kozak is 1689255028. It was assigned to this individual provider in the NPPES registry on April 17, 2021. The provider is also known as Mary Elizabeth Copeland Do.

Where is Mary Kozak located?

Mary Kozak practices at 100 St Marys Epworth Xing # A300, Newburgh, IN 47630. The listed phone number is (812) 485-7752.

What is Mary Kozak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Kozak enrolled in Medicare?

Yes. Mary Kozak 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 Mary Kozak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and CareSource list Mary Kozak 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 Mary Kozak affiliated with any hospitals?

According to CMS data, Mary Kozak is affiliated with Ascension St Vincent Evansville.

When was this NPI record last updated?

The NPPES record for Mary Kozak was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.