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JOSEPH M KOZIOL MD FACS
NPI 1942378070
Neurological Surgery in West Orange, NJ

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
101 OLD SHORT HILLS RD STE 409, WEST ORANGE, NJ 07052(973) 322-6732(973) 322-6545 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 28, 2017, Jan 11, 2017 (2 updates tracked since 2017).

About Joseph M Koziol Md Facs NPPES

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

JOSEPH M KOZIOL MD FACS (NPI 1942378070) is an individual neurological surgery provider in West Orange, New Jersey, licensed in New Jersey (25MA04495800) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Rutgers New Jersey Medical School (1983).

NPPES Registry Identity

NPI1942378070
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJOSEPH M KOZIOLCredential: MD FACS
Location Address101 OLD SHORT HILLS RD STE 409West Orange, NJ 07052-1023
Mailing Address101 Old Short Hills Rd Ste 409West Orange, NJ 07052-1023 · (973) 322-6732 · Fax (973) 322-6545
Phone(973) 322-6732
Fax(973) 322-6545
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1983
Enumeration DateNovember 30, 2006
Last NPPES UpdateFebruary 28, 20172 updates tracked since enumeration
✔ NPI 1942378070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in NJ · 25MA04495800
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
101 OLD SHORT HILLS RD STE 409, West Orange, NJ 07052
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Other Identifiers 3

Medicare UPIND19762
OtherP00134807NJ · Railroad Medicare Pin#
Medicare PIN612596AULNJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Joseph M Koziol Md Facs 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 ID2769411255
PECOS Enrollment IDI20050804000975
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

2

Medicare enrollment records show Joseph Koziol reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otakar R Hubschmann MD PA
Same address
Neurological Surgery
101 OLD SHORT HILLS RD, SUITE 409
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1790990380 (973) 322-6732
Barnabas Health Medical Group PC
8.4 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123

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

Areas of Expertise CMS Part B claims 8

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.
47 services40 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
39 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 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.
25 services24 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 2

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

COURTNEY DALEBROUX
Nurse Practitioner (Gerontology)
101 OLD SHORT HILLS RD STE 409
WEST ORANGE, NJ 07052
Essex County (973) 322-6732
OTAKAR R HUBSCHMANN MD FACS
Neurological Surgery
101 OLD SHORT HILLS RD STE 409
WEST ORANGE, NJ 07052
Essex County (973) 322-6732

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 Joseph Koziol's NPI number?

The NPI number for Joseph Koziol is 1942378070. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Joseph Koziol located?

Joseph Koziol practices at 101 Old Short Hills Rd Ste 409, West Orange, NJ 07052. The listed phone number is (973) 322-6732.

What is Joseph Koziol's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Joseph Koziol enrolled in Medicare?

Yes. Joseph Koziol 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 organizations bill Medicare for Joseph Koziol's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Koziol reassigns Medicare benefits to 2 organizations: Otakar R Hubschmann MD PA (West Orange, NJ) and Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Joseph Koziol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Koziol accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Joseph Koziol 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 Joseph Koziol affiliated with any hospitals?

According to CMS data, Joseph Koziol is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Koziol was last updated on February 28, 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.