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

Active since October 18, 2010PECOS Enrolled
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: October 18, 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.

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
Phone(313) 745-5427
Sole ProprietorNo
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas James Czolgosz M.d. 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Thomas Czolgosz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Pediatricians
Same address
Nurse Practitioner
3901 BEAUBIEN
Detroit, MI 48201
  • Reassigned Medicare billing, Michigan enrollment
  • 360 clinicians in this Medicare group
NPI 1033143904 (313) 745-5214
Ecs Western Michigan PC
140 mi
Emergency Medicine
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 265 clinicians in this Medicare group
NPI 1992281000 (616) 391-1730
Visionary Medical Services PC
140 mi
Emergency Medicine
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 192 clinicians in this Medicare group
NPI 1538216569 (616) 391-1680
Mclaren Northern Michigan
230 mi
Family Medicine
416 CONNABLE AVE
Petoskey, MI 49770
  • Reassigned Medicare billing, Michigan enrollment
  • 149 clinicians in this Medicare group
NPI 1760736094 (231) 487-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organizations bill Medicare for Thomas Czolgosz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Czolgosz reassigns Medicare benefits to 4 organizations: University Pediatricians (Detroit, MI), Ecs Western Michigan PC (Grand Rapids, MI), Visionary Medical Services PC (Grand Rapids, MI) and Mclaren Northern Michigan (Petoskey, MI). Each 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 Thomas Czolgosz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.