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

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: October 25, 2026.

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 Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Oscar 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 (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.

Medicare Billing Reassignment

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

Flagstaff Eye Care PLLC
58 mi
Optometrist
410 N SAN FRANCISCO ST
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1780711317 (928) 774-5093

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 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.

Which organization bills Medicare for Nicholas Koshuta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Koshuta reassigns Medicare benefits to Flagstaff Eye Care PLLC (Flagstaff, AZ). 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 Nicholas Koshuta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Koshuta accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Oscar Health, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 5 other insurers 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 3 months 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.