DR. THOMAS JAMES CZOLGOSZ M.D.
NPI 1881904423
Pediatrics in Detroit, MI

Active since October 18, 2010PECOS EnrolledAccepts Medicare Assignment
96.27/100
CMS Quality Rating
3901 BEAUBEIN, CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT, MI 48201(313) 745-5427 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Thomas James Czolgosz M.d. NPPES

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

DR. THOMAS JAMES CZOLGOSZ M.D. (NPI 1881904423) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4301097243) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1881904423
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. THOMAS JAMES CZOLGOSZCredential: M.D.
Location Address3901 BEAUBEIN, CHILDREN'S HOSPITAL OF MICHIGANDetroit, MI 48201
Mailing Address4100 Embassy Dr Se, Ste 200Grand Rapids, MI 49546-2416 · (248) 925-9521
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 18, 2010
Last NPPES UpdateJune 29, 2016
NPI 1881904423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · 4301097243
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3901 BEAUBEIN, Detroit, MI 48201

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. Thomas James Czolgosz M.d. 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 ID2860621083
PECOS Enrollment IDI20140211001678
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 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

96.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.89
Improvement Activities40

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 Thomas Czolgosz's NPI number?

The NPI number for Thomas Czolgosz is 1881904423. It was assigned to this individual provider in the NPPES registry on October 18, 2010.

Where is Thomas Czolgosz located?

Thomas Czolgosz practices at 3901 Beaubein Children's Hospital Of Michigan, Detroit, MI 48201. The listed phone number is (313) 745-5427.

What is Thomas Czolgosz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Czolgosz enrolled in Medicare?

Yes. Thomas Czolgosz 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 Thomas Czolgosz accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Thomas Czolgosz 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 Thomas Czolgosz was last updated on June 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.