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DR. MICHAEL RICHARD KOSTURA II O.D.
NPI 1700913829
Optometrist in Trabuco Canyon, CA

Active since February 27, 2007PECOS Enrolled
21612 PLANO TRABUCO RD STE C, TRABUCO CANYON, CA 92679(949) 459-5687(949) 459-5690 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Richard Kostura Ii O.d. NPPES

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

DR. MICHAEL RICHARD KOSTURA II O.D. (NPI 1700913829) is an individual optometrist in Trabuco Canyon, California, licensed in California (12316T) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700913829
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL RICHARD KOSTURA IICredential: O.D.
Location Address21612 PLANO TRABUCO RD STE CTrabuco Canyon, CA 92679-3488
Mailing Address21612 Plano Trabuco Rd Ste CTrabuco Canyon, CA 92679-3488 · (949) 459-5687 · Fax (949) 459-5690
Phone(949) 459-5687
Fax(949) 459-5690
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700913829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 12316T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
21612 PLANO TRABUCO RD STE C, Trabuco Canyon, CA 92679
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Other Identifiers 1

Medicare UPINU98889CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Michael Richard Kostura Ii O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Michael Kostura reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kostura Optometric Corp
Same address
Primary Care
21612 PLANO TRABUCO RD STE C
Trabuco Canyon, CA 92679
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1578181491 (949) 459-5687
Ecs Of Los Angeles I Optometry Corporation
0.1 mi
Optometrist
21612 PLANO TRABUCO RD STE C
Trabuco Canyon, CA 92679
  • Reassigned Medicare billing, California enrollment
  • 8 clinicians in this Medicare group
NPI 1356205652 (618) 462-9818

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92679 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 3

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

ECS OF LOS ANGELES I OPTOMETRY CORPORATION
Optometrist
21612 PLANO TRABUCO RD STE C
TRABUCO CANYON, CA 92679
Orange County (618) 462-9818
KOSTURA OPTOMETRIC CORP
Clinic/Center (Primary Care)
21612 PLANO TRABUCO RD STE C
TRABUCO CANYON, CA 92679
Orange County (949) 459-5687
DR. SONIA KIM KOSTURA O.D.
Optometrist
21612 PLANO TRABUCO RD STE C
TRABUCO CANYON, CA 92679
Orange County (949) 459-5687

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 Michael Kostura's NPI number?

The NPI number for Michael Kostura is 1700913829. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Michael Kostura located?

Michael Kostura practices at 21612 Plano Trabuco Rd Ste C, Trabuco Canyon, CA 92679. The listed phone number is (949) 459-5687.

What is Michael Kostura's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Kostura enrolled in Medicare?

Yes. Michael Kostura is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Kostura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kostura reassigns Medicare benefits to 2 organizations: Kostura Optometric Corp (Trabuco Canyon, CA) and Ecs Of Los Angeles I Optometry Corporation (Trabuco Canyon, CA). 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 Michael Kostura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Kostura accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Michael Kostura 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.

When was this NPI record last updated?

The NPPES record for Michael Kostura was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.