Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS LEO KOSHUTA O.D.
NPI 1992701494
Optometrist in Prescott Valley, AZ

Q: What is Nicholas Koshuta's NPI number?

The NPI number for Nicholas Koshuta is 1992701494. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Nicholas Koshuta's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Koshuta was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.

Active since June 21, 2005PECOS Enrolled

2820 N GLASSFORD HILL RD, STE 101, PRESCOTT VALLEY, AZ 86314(928) 775-5606(928) 772-4999 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas Leo Koshuta O.d. NPPES

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

NICHOLAS LEO KOSHUTA O.D. (NPI 1992701494) is an individual optometrist in Prescott Valley, Arizona, licensed in Arizona (1264) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2001).

NPPES Registry Identity

NPI1992701494

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameNICHOLAS LEO KOSHUTACredential: O.D.

Location Address2820 N GLASSFORD HILL RD, STE 101Prescott Valley, AZ 86314-2256

Mailing Address2820 N Glassford Hill Rd, Ste 101Prescott Valley, AZ 86314-2256 · (928) 775-5606 · Fax (928) 772-4999

Phone(928) 775-5606

Fax(928) 772-4999

Sole ProprietorNo

Medical School CMSPennsylvania College Of OptometryGraduated 2001

Enumeration DateJune 21, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1992701494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AZ · 1264

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2820 N GLASSFORD HILL RD, Prescott Valley, AZ 86314

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Leo Koshuta O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567490741

PECOS Enrollment IDI20050729000033

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 7

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

340 services306 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.

219 services117 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

192 services167 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

62 services55 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

46 services42 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86314 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 8

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

MRS. JOANNE C HOPMAN

Optometrist

2820 N GLASSFORD HILL RD, SUITE 101
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 775-5606

KOKOPELLI EYE CARE OPTICAL DEPT

Technician/Technologist (Optician)

2820 N GLASSFORD HILL RD, SUITE 101
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 775-5606

KOKOPELLI EYE CARE SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

2820 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 775-5606

JENNIFER ANN BOMICINO MS, LPC

Counselor (Professional)

2820 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314

Yavapai County (844) 385-3474

KOKOPELLI EYE CARE PC

Specialist

2820 N GLASSFORD HILL RD, SUITE 101
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 775-5606

ASSOCIATED RETINA CONSULTANTS, LTD.

Ophthalmology

2820 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314

Yavapai County (602) 242-4928

MICHAEL LEE HAM M.D.

Ophthalmology

2820 N GLASSFORD HILL RD, STE 101
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 775-5606

KOKOPELLI EYE CARE PC

Eyewear Supplier

2820 N GLASSFORD HILL RD
PRESCOTT VALLEY, AZ 86314

Yavapai County (928) 771-9000

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 Nicholas Koshuta's NPI number?

The NPI number for Nicholas Koshuta is 1992701494. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Nicholas Koshuta located?

Nicholas Koshuta practices at 2820 N Glassford Hill Rd Ste 101, Prescott Valley, AZ 86314. The listed phone number is (928) 775-5606.

What is Nicholas Koshuta's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicholas Koshuta enrolled in Medicare?

Yes. Nicholas Koshuta is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Koshuta accept?

Health plans from Blue Cross Blue Shield of Arizona and Providence Health Plan list Nicholas Koshuta 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 Nicholas Koshuta was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.