MARGARET Z KOZAK DO
NPI 1891781720
Family Medicine in Newton, NJ

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
82.01/100
CMS Quality Rating
135 NEWTON SPARTA RD, NEWTON, NJ 07860(973) 579-1000(973) 579-3571 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Margaret Z Kozak Do NPPES

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

MARGARET Z KOZAK DO (NPI 1891781720) is an individual family medicine provider in Newton, New Jersey, licensed in New Jersey (25MB06962100) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1891781720
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARGARET Z KOZAKCredential: DO
Location Address135 NEWTON SPARTA RDNewton, NJ 07860-2795
Mailing Address532 Lafayette Rd, Suite 300Sparta, NJ 07871-4411 · (973) 940-0423 · Fax (973) 940-0399
Fax(973) 579-3571
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 26, 2005
Last NPPES UpdateOctober 20, 2011
NPI 1891781720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · 25MB06962100
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.
135 NEWTON SPARTA RD, Newton, NJ 07860

Other Identifiers 3

Medicaid8030502NJ
Medicare UPINH03188
Medicare ID-Type Unspecified030914NJ

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

Margaret Z Kozak Do 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 ID7911896626
PECOS Enrollment IDI20240701000580
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 16

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
483 services376 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
323 services280 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
177 services34 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
116 services116 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
114 services114 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

82.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.02
Promoting Interoperability85
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers12 claims26 services$6.68 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 10

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

Midwife
135 NEWTON SPARTA RD
NEWTON, NJ 07860
Surgery
135 NEWTON SPARTA RD, MEDICAL & SURGICAL SPECIALTY GROUP
NEWTON, NJ 07860
Family Medicine
135 NEWTON SPARTA RD
NEWTON, NJ 07860
Surgery
135 NEWTON SPARTA RD
NEWTON, NJ 07860
Specialist
135 NEWTON SPARTA RD
NEWTON, NJ 07860
Hearing Instrument Specialist
135 NEWTON SPARTA RD, SUITE 101
NEWTON, NJ 07860
Specialist
135 NEWTON SPARTA RD
NEWTON, NJ 07860
Obstetrics & Gynecology
135 NEWTON SPARTA RD, SUITE 201
NEWTON, NJ 07860

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 Margaret Kozak's NPI number?

The NPI number for Margaret Kozak is 1891781720. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Margaret Kozak located?

Margaret Kozak practices at 135 Newton Sparta Rd, Newton, NJ 07860. The listed phone number is (973) 579-1000.

What is Margaret Kozak's specialty?

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

Is Margaret Kozak enrolled in Medicare?

Yes. Margaret Kozak 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 Margaret Kozak accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Margaret Kozak 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 Margaret Kozak was last updated on October 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.