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BENJAMIN KOSUBEVSKY DO
NPI 1881250363
Family Medicine in West Palm Beach, FL

Active since May 10, 2019Opted out of Medicare · through Nov 4, 2026
580 VILLAGE BLVD STE 210, WEST PALM BEACH, FL 33409(561) 210-4033 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2022, Jun 27, 2020, May 10, 2019 (3 updates tracked since 2019).

About Benjamin Kosubevsky Do NPPES

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

BENJAMIN KOSUBEVSKY DO (NPI 1881250363) is an individual family medicine provider in West Palm Beach, Florida, licensed in Florida (OS16964) and active in the NPI registry since May 2019. He has opted out of Medicare through November 4, 2026 and remains eligible to order and refer and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1881250363
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN KOSUBEVSKYCredential: DO
Location Address580 VILLAGE BLVD STE 210West Palm Beach, FL 33409-1952
Mailing Address15742 91st Ter NJupiter, FL 33478-6925 · (732) 861-4429
Phone(561) 210-4033
Sole ProprietorNo
Enumeration DateMay 10, 2019
Last NPPES UpdateFebruary 18, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1881250363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · OS16964✔ Licensed in SC · 91359
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

580 VILLAGE BLVD STE 210, West Palm Beach, FL 33409
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Secondary Practice Location 1

Location 1103 Wade Hampton BlvdGreenville, SC 29609-5734 · Phone (864) 520-5232

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Benjamin Kosubevsky Do 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 November 4, 2022 through November 4, 2026.

Opt-Out Effective DateNovember 4, 2022
Opt-Out In Effect ThroughNovember 4, 2026Opt-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 33409 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES

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

SHANA GILBERT
Nurse Practitioner
580 VILLAGE BLVD STE 210
WEST PALM BEACH, FL 33409
Palm Beach County (561) 210-4033

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 Benjamin Kosubevsky's NPI number?

The NPI number for Benjamin Kosubevsky is 1881250363. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Benjamin Kosubevsky located?

Benjamin Kosubevsky practices at 580 Village Blvd Ste 210, West Palm Beach, FL 33409. The listed phone number is (561) 210-4033.

What is Benjamin Kosubevsky's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Kosubevsky enrolled in Medicare?

No. Benjamin Kosubevsky has opted out of Medicare through November 4, 2026. 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 Benjamin Kosubevsky was last updated on February 18, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.