PETER EARL DAVID KACZKOFSKY DO
NPI 1710089453
Obstetrics & Gynecology in Wyoming, MI

Active since September 02, 2006PECOS EnrolledAccepts Medicare Assignment
2221 HEALTH DR SW, WYOMING, MI 49509(616) 252-4410(616) 252-4480 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2017, Oct 17, 2017 (2 updates tracked since 2017).

About Peter Earl David Kaczkofsky Do NPPES

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

PETER EARL DAVID KACZKOFSKY DO (NPI 1710089453) is an individual obstetrics & gynecology provider in Wyoming, Michigan, licensed in Michigan (012006) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of Michigan State University College Of Osteopathic Medicine (1993).

NPPES Registry Identity

NPI1710089453
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NamePETER EARL DAVID KACZKOFSKYCredential: DO
Location Address2221 HEALTH DR SWWyoming, MI 49509
Mailing Address5900 Byron Center Ave Sw, Medical AdministrationWyoming, MI 49519-9700 · (616) 252-3243 · Fax (616) 252-0260
Fax(616) 252-4480
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1993
Enumeration DateSeptember 2, 2006
Last NPPES UpdateDecember 8, 20172 updates tracked since enumeration
NPI 1710089453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 012006
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2221 HEALTH DR SW, Wyoming, MI 49509

Other Identifiers 6

Other1654101584MI · Blue Care Netword
Medicaid4708005MI
Medicaid4708168MI
Medicaid4708195MI
Other1654101584MI · Blue Cross Blue Shield
Medicaid4708275MI

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

Peter Earl David Kaczkofsky 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 ID1658325113
PECOS Enrollment IDI20050308000511
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 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.
15 services12 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49509 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 2

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

Obstetrics & Gynecology
2221 HEALTH DR SW
WYOMING, MI 49509
Obstetrics & Gynecology
2221 HEALTH DR SW
WYOMING, MI 49509

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 Peter Kaczkofsky's NPI number?

The NPI number for Peter Kaczkofsky is 1710089453. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Peter Kaczkofsky located?

Peter Kaczkofsky practices at 2221 Health Dr SW, Wyoming, MI 49509. The listed phone number is (616) 252-4410.

What is Peter Kaczkofsky's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Peter Kaczkofsky enrolled in Medicare?

Yes. Peter Kaczkofsky 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 Peter Kaczkofsky accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Peter Kaczkofsky 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 Peter Kaczkofsky affiliated with any hospitals?

According to CMS data, Peter Kaczkofsky is affiliated with University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Peter Kaczkofsky was last updated on December 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.