SEAN KOSTOLANSKY D.O.
NPI 1871976548
Emergency Medicine in Springfield, IL
About Sean Kostolansky D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEAN KOSTOLANSKY D.O. (NPI 1871976548) is an individual emergency medicine provider in Springfield, Illinois, licensed in Illinois (036145850) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sean Kostolansky 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.
Medicare Billing Reassignment
Medicare enrollment records show Sean Kostolansky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62769
- Reassigned Medicare billing, Illinois enrollment
- 982 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Presence Saint Joseph Medical Center
Acute Care Hospitals · Joliet, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Sean Kostolansky's NPI number?
The NPI number for Sean Kostolansky is 1871976548. It was assigned to this individual provider in the NPPES registry on June 30, 2015.
Where is Sean Kostolansky located?
Sean Kostolansky practices at 701 N 1st, Springfield, IL 62702. The listed phone number is (217) 545-3518.
What is Sean Kostolansky's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Sean Kostolansky enrolled in Medicare?
Yes. Sean Kostolansky 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.
Which organization bills Medicare for Sean Kostolansky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Kostolansky reassigns Medicare benefits to Cepamerica Illinois LLP (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Kostolansky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Sean Kostolansky affiliated with any hospitals?
According to CMS data, Sean Kostolansky is affiliated with Presence Saint Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Sean Kostolansky was last updated on June 14, 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.
# Sean Kostolansky, D.O. · NPI 1871976548
Emergency Medicine physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since June 30, 2015.
## Identity
- **NPI:** 1871976548 (Entity type: Individual)
- **Enumerated:** June 30, 2015
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036145850 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 N 1ST, Springfield, IL 62702
- **Phone:** (217) 545-3518
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Cepamerica Illinois LLP (NPI 1871360297, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2018
## Record status
- **NPPES last updated:** June 14, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1871976548) · Data from the CMS NPPES public registry.