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SEAN KOSTOLANSKY D.O.
NPI 1871976548
Emergency Medicine in Springfield, IL

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
701 N 1ST, SPRINGFIELD, IL 62702(217) 545-3518 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1871976548
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSEAN KOSTOLANSKYCredential: D.O.
Location Address701 N 1STSpringfield, IL 62702
Mailing AddressPo Box 19638Springfield, IL 62794-9638 · (217) 545-3518
Phone(217) 545-3518
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2018
Enumeration DateJune 30, 2015
Last NPPES UpdateJune 14, 2019
✔ NPI 1871976548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036145850✔ Licensed in IL · 125.066840
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
701 N 1ST, Springfield, IL 62702
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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 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.

PECOS PAC ID1355635145
PECOS Enrollment IDI20180917000674
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
337 services305 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
231 services219 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
98 services97 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services43 patients

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, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

THOMAS JOHNSTON MD
Emergency Medicine
701 N 1ST, SUITE D220
SPRINGFIELD, IL 62702
Sangamon County (217) 545-3518
MIGUEL ANGEL ORTIZ RIVERA MD
Surgery
701 N 1ST, SUITE D308
SPRINGFIELD, IL 62702
Sangamon County (217) 545-4401
DR. WILLIAM LELAND ZELKOVICH M.D.
Radiology (Diagnostic Radiology)
701 N 1ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-0193

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.

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.