GORGI KOZESKI D.O.
NPI 1689817272
Internal Medicine - Clinical Cardiac Electrophysiology in Altoona, PA

Active since April 12, 2009PECOS EnrolledAccepts Medicare Assignment
1321 11TH AVE, ALTOONA, PA 16601(814) 942-2411(814) 943-6291 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gorgi Kozeski D.o. NPPES

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

GORGI KOZESKI D.O. (NPI 1689817272) is an individual clinical cardiac electrophysiology provider in Altoona, Pennsylvania, licensed in Pennsylvania (OS016200) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Rowan University School Of Osteopathic Medicine (2004).

NPPES Registry Identity

NPI1689817272
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameGORGI KOZESKICredential: D.O.
Location Address1321 11TH AVEAltoona, PA 16601-3301
Mailing Address1321 11th AveAltoona, PA 16601-3301 · (814) 942-2411 · Fax (814) 943-6291
Fax(814) 943-6291
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2004
Enumeration DateApril 12, 2009
Last NPPES UpdateJuly 23, 2012
✔ NPI 1689817272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Licenses✔ Licensed in PA · OS016200✔ Licensed in DC · DO034355
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
1321 11TH AVE, Altoona, PA 16601

Accepted 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

Gorgi Kozeski D.o. 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 ID7719134592
PECOS Enrollment IDI20120830000035
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 Gorgi Kozeski reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
1321 11TH AVE
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 27 clinicians in this Medicare group
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 15 clinicians in this Medicare group
Family Medicine
417 SABBATH REST RD STE 3
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Tyrone Hospital
  • 129 clinicians in this Medicare group
Rural Health
225 KEYSTONE AVE
Cresson, PA 16630
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
Critical Access
290 HAIDA AVENUE
Hastings, PA 16646
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 80 clinicians in this Medicare group
Family Medicine
1225 WARM SPRINGS AVE
Huntingdon, PA 16652
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 82 clinicians in this Medicare group

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 31

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
592 services72 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
500 services72 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
466 services299 patients
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.
441 services284 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
224 services37 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
159 services74 patients

Hospital Affiliations CMS Care Compare 5

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
76%80 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner
1321 11TH AVE
ALTOONA, PA 16601
Nurse Practitioner
1321 11TH AVE
ALTOONA, PA 16601
Internal Medicine (Cardiovascular Disease)
1321 11TH AVE
ALTOONA, PA 16601
Nurse Practitioner (Family)
1321 11TH AVE
ALTOONA, PA 16601
Internal Medicine (Cardiovascular Disease)
1321 11TH AVE
ALTOONA, PA 16601
Internal Medicine (Cardiovascular Disease)
1321 11TH AVE
ALTOONA, PA 16601
Internal Medicine (Cardiovascular Disease)
1321 11TH AVE
ALTOONA, PA 16601
Internal Medicine (Cardiovascular Disease)
1321 11TH AVE
ALTOONA, PA 16601

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 Gorgi Kozeski's NPI number?

The NPI number for Gorgi Kozeski is 1689817272. It was assigned to this individual provider in the NPPES registry on April 12, 2009.

Where is Gorgi Kozeski located?

Gorgi Kozeski practices at 1321 11th Ave, Altoona, PA 16601. The listed phone number is (814) 942-2411.

What is Gorgi Kozeski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Gorgi Kozeski enrolled in Medicare?

Yes. Gorgi Kozeski 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 Gorgi Kozeski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gorgi Kozeski reassigns Medicare benefits to 6 organizations: Cardiology Associates Of Altoona, LLP (Altoona, PA), Upmc Altoona (Altoona, PA), Pinecroft Medical Center (Altoona, PA), Dlp Conemaugh Physician Practices LLC (Cresson, PA), Dlp Conemaugh Miners Medical Center LLC (Hastings, PA) 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 Gorgi Kozeski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gorgi Kozeski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gorgi Kozeski 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 Gorgi Kozeski affiliated with any hospitals?

According to CMS data, Gorgi Kozeski is affiliated with Penn Highlands Huntingdon, Conemaugh Nason Medical Center, Upmc Altoona, Penn Highlands Dubois and Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Gorgi Kozeski was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.