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COURTNEY KATHLEEN KOZEK PA-C
NPI 1821547274
Physician Assistant in Mentor, OH

Active since September 27, 2016Opted out of Medicare · through Oct 1, 2027
9500 MENTOR AVE, #100, MENTOR, OH 44060(440) 352-4880 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2021, Sep 16, 2019, Sep 27, 2016 (3 updates tracked since 2016).

About Courtney Kathleen Kozek Pa-c NPPES

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

COURTNEY KATHLEEN KOZEK PA-C (NPI 1821547274) is an individual physician assistant in Mentor, Ohio, licensed in Ohio (50.004792RX) and active in the NPI registry since September 2016. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1821547274
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY KATHLEEN KOZEKCredential: PA-C
Location Address9500 MENTOR AVE, #100Mentor, OH 44060-8713
Mailing Address9500 Mentor Ave, #100Mentor, OH 44060-8713 · (440) 352-4880
Phone(440) 352-4880
Sole ProprietorNo
Enumeration DateSeptember 27, 2016
Last NPPES UpdateFebruary 26, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1821547274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.004792RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9500 MENTOR AVE, Mentor, OH 44060
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Courtney Kathleen Kozek Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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 20

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

MARK K. KOMAR MD
Family Medicine
9500 MENTOR AVE, SUITE 100
MENTOR, OH 44060
Lake County (440) 352-4880
JOHN S. BUCCHIERI M.D.
Orthopaedic Surgery
9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060
Lake County (440) 352-1711
DR. ERIC M PARSONS M.D.
Orthopaedic Surgery
9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060
Lake County (440) 352-1711
DR. PATRICK A QUINN MD
Obstetrics & Gynecology
9500 MENTOR AVE, SUITE 220
MENTOR, OH 44060
Lake County (440) 357-7100
MARC J. MCNAUGHTON MD
Family Medicine
9500 MENTOR AVE, SUITE 100
MENTOR, OH 44060
Lake County (440) 350-4880
DR. STEPHEN T CAROSELLO DDS
Dentist (General Practice)
9500 MENTOR AVE, STE 280
MENTOR, OH 44060
Lake County (440) 352-2887
DR. JEFFREY C LUPICA DPM
Podiatrist
9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060
Lake County (440) 352-1711
MS. ELIZABETH WOJCIK P.T.
Physical Therapist
9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060
Lake County (440) 352-0934

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 Courtney Kozek's NPI number?

The NPI number for Courtney Kozek is 1821547274. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Courtney Kozek located?

Courtney Kozek practices at 9500 Mentor Ave #100, Mentor, OH 44060. The listed phone number is (440) 352-4880.

What is Courtney Kozek's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Courtney Kozek enrolled in Medicare?

No. Courtney Kozek has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Courtney Kozek was last updated on February 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.