1. Home
  2. Directory
  3. Pennsylvania
  4. Jenkintown
  5. Dermatology
  6. NPI Profile

ATSUKO KODAMA MD, PHD
NPI 1699976340
Dermatology in Jenkintown, PA

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
361 HIGHLAND AVE STE 204, JENKINTOWN, PA 19046(267) 538-5045 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2022, Oct 6, 2020 (2 updates tracked since 2020).

About Atsuko Kodama Md, Phd NPPES

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

ATSUKO KODAMA MD, PHD (NPI 1699976340) is an individual dermatology provider in Jenkintown, Pennsylvania, licensed in Pennsylvania (MD440883) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1699976340
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameATSUKO KODAMACredential: MD, PHD
Location Address361 HIGHLAND AVE STE 204Jenkintown, PA 19046-2632
Mailing Address361 Highland Ave Ste 204Jenkintown, PA 19046-2632 · (267) 538-5045
Phone(267) 538-5045
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 30, 2007
Last NPPES UpdateMay 17, 20222 updates tracked since enumeration
NPPES CertifiedMay 17, 2022
✔ NPI 1699976340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in PA · MD440883✔ Licensed in TX · N7443
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License MD440883 (PA)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License MD440883 (PA)
361 HIGHLAND AVE STE 204, Jenkintown, PA 19046
Open in Google Maps ↗

Other Identifiers 1

OtherBP2-0029752Institutional Permit

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

Atsuko Kodama Md, Phd 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 ID5799801114
PECOS Enrollment IDI20120919000110
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 Reassignment

Medicare enrollment records show Atsuko Kodama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Philadelphia Center For Dermatology, PC
5.7 mi
Dermatopathology
8400 ROOSEVELT BLVD, SUITE 200
Philadelphia, PA 19152
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1598176554 (267) 538-5045

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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
615 services88 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.
308 services167 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
167 services105 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
123 services58 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.
98 services69 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
87 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19046 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%402 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%90 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,150 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%32 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,411 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
100%1,355 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 495 patients
Patients screened: 100% · 495 patients
100%36 patients5/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%123 patients5/55-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.

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 Atsuko Kodama's NPI number?

The NPI number for Atsuko Kodama is 1699976340. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Atsuko Kodama located?

Atsuko Kodama practices at 361 Highland Ave Ste 204, Jenkintown, PA 19046. The listed phone number is (267) 538-5045.

What is Atsuko Kodama's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Atsuko Kodama enrolled in Medicare?

Yes. Atsuko Kodama 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 organization bills Medicare for Atsuko Kodama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atsuko Kodama reassigns Medicare benefits to Philadelphia Center For Dermatology, PC (Philadelphia, PA). The 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 Atsuko Kodama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Atsuko Kodama was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.