MATTHEW NICKOLAS KOSTELAC
NPI 1871397075
Internal Medicine in Danville, PA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207R00000X.

Active since April 04, 2025PECOS Enrolled

35 JUSTIN DRIVE, 4TH FLOOR, DANVILLE, PA 17821(570) 271-6164(570) 271-6141 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 10, 2025, Apr 4, 2025 (2 updates tracked since 2025).

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About Matthew Nickolas Kostelac NPPES

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

MATTHEW NICKOLAS KOSTELAC (NPI 1871397075) is an individual internal medicine provider in Danville, Pennsylvania, licensed in Pennsylvania (MT234516) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871397075

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMATTHEW NICKOLAS KOSTELAC

Location Address35 JUSTIN DRIVE, 4TH FLOORDanville, PA 17821

Mailing Address35 Justin Drive, 4th FloorDanville, PA 17821 · (570) 271-6164 · Fax (570) 271-6141

Phone(570) 271-6164

Fax(570) 271-6141

Sole ProprietorNo

Enumeration DateApril 4, 2025

Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1871397075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MT234516

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

35 JUSTIN DRIVE, Danville, PA 17821

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Nickolas Kostelac 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17821 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.