DR. MARK EDWARD KOSCIUSZKO OD
NPI 1841289774
Optometrist in Hillsdale, MI

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
74.01/100
CMS Quality Rating
50 W CARLETON RD, HILLSDALE, MI 49242(517) 439-2020(517) 437-5577 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Edward Kosciuszko Od NPPES

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

DR. MARK EDWARD KOSCIUSZKO OD (NPI 1841289774) is an individual optometrist in Hillsdale, Michigan, licensed in Michigan (4901002884) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (1982).

NPPES Registry Identity

NPI1841289774
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK EDWARD KOSCIUSZKOCredential: OD
Location Address50 W CARLETON RDHillsdale, MI 49242-1202
Mailing Address50 W Carleton RdHillsdale, MI 49242-1202 · (517) 439-2020 · Fax (517) 437-5577
Fax(517) 437-5577
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 1982
Enumeration DateOctober 13, 2005
Last NPPES UpdateApril 8, 2015
NPI 1841289774 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 MI · 4901002884
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.
50 W CARLETON RD, Hillsdale, MI 49242

Other Identifiers 6

Other900A210280MI · Bcbsm
Other4414910001MI · Dmerc
Medicare UPINU29910MI
Medicaid4696989MI
Other2230027MI · Iba Php
Other37252313MI · Vsp

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. Mark Edward Kosciuszko Od 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 ID446249494
PECOS Enrollment IDI20040506001164
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 4

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
81 services80 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.
68 services45 patients
Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
51 services27 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49242 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.

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.

74.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability97
Improvement Activities40
Cost15.89

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.

Ophthalmology
50 W CARLETON RD
HILLSDALE, MI 49242
Ophthalmology
50 W CARLETON RD
HILLSDALE, MI 49242
Ophthalmology
50 W CARLETON RD
HILLSDALE, MI 49242

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 Mark Kosciuszko's NPI number?

The NPI number for Mark Kosciuszko is 1841289774. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Mark Kosciuszko located?

Mark Kosciuszko practices at 50 W Carleton Rd, Hillsdale, MI 49242. The listed phone number is (517) 439-2020.

What is Mark Kosciuszko's specialty?

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

Is Mark Kosciuszko enrolled in Medicare?

Yes. Mark Kosciuszko 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 Mark Kosciuszko accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 5 other insurers list Mark Kosciuszko 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 Mark Kosciuszko was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.