DR. SHAWN D KOSNIK D.O.
NPI 1710958871
Otolaryngology in Sylva, NC

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
78.03/100
CMS Quality Rating
38 THE VILLAGE OVERLOOK, SYLVA, NC 28779(828) 586-7474(828) 586-7473 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shawn D Kosnik D.o. NPPES

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

DR. SHAWN D KOSNIK D.O. (NPI 1710958871) is an individual otolaryngology provider in Sylva, North Carolina, licensed in North Carolina (9800301) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Harris Regional Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1996).

NPPES Registry Identity

NPI1710958871
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SHAWN D KOSNIKCredential: D.O.
Location Address38 THE VILLAGE OVERLOOKSylva, NC 28779-2616
Mailing Address38 The Village OverlookSylva, NC 28779-2616 · (828) 586-7474 · Fax (828) 586-7473
Fax(828) 586-7473
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1996
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJune 5, 2019
NPI 1710958871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NC · 9800301
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 9800301 (NC)
38 THE VILLAGE OVERLOOK, Sylva, NC 28779

Other Identifiers 2

Other2319276NC · Medicare
Medicaid890207RNC

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

Dr. Shawn D Kosnik 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 ID1254497837
PECOS Enrollment IDI20090305000649
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 19

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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
3,030 services126 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
489 services126 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
418 services11 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.
316 services248 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
104 services104 patients
Removal or destruction of growth of nose through nose 30117
This procedure involves removing or destroying a growth in the nose. It's done through the nostrils, so no external cuts are made. The growth could be a polyp, cyst, or other abnormal tissue. It helps improve breathing and reduces discomfort or other symptoms caused by the growth.
61 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340016
Location68 Hospital RdSylva, NC 28779 · Jackson County
Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340023
Location100 Hospital DriveHendersonville, NC 28792 · Henderson County
Emergency services Birthing friendly

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Highlands Cashiers Hospital

Critical Access Hospitals · Highlands, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341316
Location190 Hospital DriveHighlands, NC 28741 · Macon County
Emergency services

Erlanger Murphy Medical Center

Critical Access Hospitals · Murphy, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341328
Location3990 East Us Highway 64 AltMurphy, NC 28906 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28779 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

78.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality62.25
Promoting Interoperability96
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
96%24 patients
Closing the Referral Loop: Receipt of Specialist Report
34%79 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
0%41 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,849 patients4/55-star benchmark: 100%
e-Prescribing
96%500 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%1,340 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 9% · 1,020 patients
9%1,020 patients
Provide Patients Electronic Access to Their Health Information
65%1,105 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
73%52 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 699 patients
Patients totalRate: 1% · 700 patients
1%700 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 9

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

Physician Assistant
38 THE VILLAGE OVERLOOK
SYLVA, NC 28779
Audiologist
38 THE VILLAGE OVERLOOK
SYLVA, NC 28779
Otolaryngology
38 THE VILLAGE OVERLOOK
SYLVA, NC 28779
Audiologist
38 THE VILLAGE OVERLOOK
SYLVA, NC 28779
Physician Assistant
38 THE VILLAGE OVERLOOK
SYLVA, NC 28779
Specialist
38 THE VILLAGE OVERLOOK
SYLVA, NC 28779
Audiologist
38 THE VILLAGE OVERLOOK
SYLVA, NC 28779
Audiologist
38 THE VILLAGE OVERLOOK
SYLVA, NC 28779

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 Shawn Kosnik's NPI number?

The NPI number for Shawn Kosnik is 1710958871. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Shawn Kosnik located?

Shawn Kosnik practices at 38 The Village Overlook, Sylva, NC 28779. The listed phone number is (828) 586-7474.

What is Shawn Kosnik's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Shawn Kosnik enrolled in Medicare?

Yes. Shawn Kosnik 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 Shawn Kosnik accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Shawn Kosnik 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 Shawn Kosnik affiliated with any hospitals?

According to CMS data, Shawn Kosnik is affiliated with Harris Regional Hospital, Adventhealth Hendersonville, Haywood Regional Medical Center, Highlands Cashiers Hospital and Erlanger Murphy Medical Center.

When was this NPI record last updated?

The NPPES record for Shawn Kosnik was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.