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JAMES RICHARD KOSIUR D.O.
NPI 1891760286
Orthopaedic Surgery in Sandusky, MI

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
100 W. ARGYLE STREET, SANILAC MEDICAL PLAZA, SANDUSKY, MI 48471(810) 648-6113(810) 648-0262 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2017, Mar 17, 2017 (2 updates tracked since 2017).

About James Richard Kosiur D.o. NPPES

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

JAMES RICHARD KOSIUR D.O. (NPI 1891760286) is an individual orthopaedic surgery provider in Sandusky, Michigan, licensed in Michigan (5101011746) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Mckenzie Health System, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1992).

NPPES Registry Identity

NPI1891760286
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES RICHARD KOSIURCredential: D.O.
Location Address100 W. ARGYLE STREET, SANILAC MEDICAL PLAZASandusky, MI 48471
Mailing Address120 N Delaware StSandusky, MI 48471-1009 · (810) 648-6113 · Fax (810) 648-0262
Phone(810) 648-6113
Fax(810) 648-0262
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1992
Enumeration DateFebruary 21, 2006
Last NPPES UpdateMarch 24, 20172 updates tracked since enumeration
✔ NPI 1891760286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 5101011746
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
100 W. ARGYLE STREET, Sandusky, MI 48471
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Other Identifiers 3

Medicare ID-Type Unspecified0M54990MI
Medicare UPINF98041MI
Medicaid341794311MI

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 and more.Insurance ›

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

James Richard Kosiur 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 ID6204017023
PECOS Enrollment IDI20110225000601
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 Reassignment

Medicare enrollment records show James Kosiur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mckenzie Memorial Hospital
0.2 mi
Critical Access
120 N DELAWARE ST
Sandusky, MI 48471
  • Reassigned Medicare billing, Michigan enrollment
  • 29 clinicians in this Medicare group
NPI 1497750608 (810) 648-6162

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckenzie Health System

Critical Access Hospitals · Sandusky, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231314
Location120 N Delaware StreetSandusky, MI 48471 · Sanilac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48471 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 James Kosiur's NPI number?

The NPI number for James Kosiur is 1891760286. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is James Kosiur located?

James Kosiur practices at 100 W. Argyle Street Sanilac Medical Plaza, Sandusky, MI 48471. The listed phone number is (810) 648-6113.

What is James Kosiur's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Kosiur enrolled in Medicare?

Yes. James Kosiur 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 James Kosiur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Kosiur reassigns Medicare benefits to Mckenzie Memorial Hospital (Sandusky, MI). 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 James Kosiur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Kosiur accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list James Kosiur 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.

Is James Kosiur affiliated with any hospitals?

According to CMS data, James Kosiur is affiliated with Mckenzie Health System.

When was this NPI record last updated?

The NPPES record for James Kosiur was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.