Active NPI 1720306590 Individual Practitioner Female Practitioner

Dr. Rachel Ade Koziczkowski , MD

Dermatology • Moline, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rachel Koziczkowski, MD is a certified Dermatology practicing in Moline, IL. With approximately 16 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2010, Dr. Koziczkowski delivers high-quality medical care to the local community at 870 36TH AVE.

Dr. Koziczkowski is affiliated with Iowa Physicians Clinic Medical Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

870 36th Ave

Moline, IL 612657159

Telephone 3096237100

Fax 3096237079

Associated Practice Facility / Clinic

🏢 Vascular & Thoracic Assoc Ltd. Facility NPI 1841301272

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Moline, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -1.8 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Moline, IL (673 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koziczkowski (16 Years) 16 Yrs

Moline Specialty Average (17.8 Years) 17.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	402	60	$18.84	$6.08
17000 Destruction of skin growth	111	86	$168.59	$46.04
99213 Established patient office or other outpatient visit, typically 15 minutes	90	72	$168.67	$86.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	58	$238.06	$121.86
11102 Tangential biopsy of single skin lesion	66	59	$295.82	$81.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$349.38	$160.71
17110 Destruction of up to 14 skin growths	56	48	$310.88	$100.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$228.31	$107.01
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$161.43	$68.53
11103 Biopsy of related skin growth, each additional growth	33	19	$157.64	$46.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$104.59	$53.51
17111 Destruction of skin growth, 15 or more growths	26	14	$391.73	$124.01
17004 Destruction of precancer skin growth, 15 or more growths	22	17	$473.41	$156.70
11104 Punch biopsy, first skin growth	19	18	$372.37	$116.06
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	13	$528.44	$144.54
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	14	$312.33	$100.47
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$576.71	$283.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	235	42	$31.34	$2.72
99213 Established patient office or other outpatient visit, typically 15 minutes	59	49	$73.31	$63.23
17000 Destruction of skin growth	54	49	$85.80	$47.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	39	$121.85	$94.88
11102 Tangential biopsy of single skin lesion	34	32	$127.65	$44.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$184.97	$95.61
17110 Destruction of up to 14 skin growths	27	26	$141.04	$74.25
11103 Biopsy of related skin growth, each additional growth	26	12	$135.15	$37.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$304.00	$151.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	399	69	$25.52	$4.20
99213 Established patient office or other outpatient visit, typically 15 minutes	128	110	$95.18	$74.14
17000 Destruction of skin growth	101	91	$92.74	$45.00
11102 Tangential biopsy of single skin lesion	95	84	$100.45	$51.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	54	$125.10	$99.63
11103 Biopsy of related skin growth, each additional growth	59	39	$100.34	$31.77
17110 Destruction of up to 14 skin growths	58	51	$109.36	$76.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$159.61	$94.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$53.60	$43.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	22	$545.72	$232.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$197.81	$134.15
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$122.80	$65.91
17004 Destruction of precancer skin growth, 15 or more growths	19	16	$379.11	$115.58
17111 Destruction of skin growth, 15 or more growths	12	11	$281.67	$89.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	440	79	$68.07	$6.20
99213 Established patient office or other outpatient visit, typically 15 minutes	163	126	$135.64	$87.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	85	$200.84	$123.79
17000 Destruction of skin growth	135	108	$190.07	$45.18
11102 Tangential biopsy of single skin lesion	120	94	$310.63	$89.47
11103 Biopsy of related skin growth, each additional growth	75	36	$165.65	$50.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$222.58	$107.10
17110 Destruction of up to 14 skin growths	66	54	$257.00	$102.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$311.72	$160.27
17004 Destruction of precancer skin growth, 15 or more growths	49	33	$655.90	$157.54
36415 Insertion of needle into vein for collection of blood sample	29	24	$16.45	$3.00
80053 Blood test, comprehensive group of blood chemicals	20	18	$64.35	$10.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	19	17	$54.42	$7.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$97.65	$53.67
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	11	$471.38	$143.61
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	12	$238.25	$61.37
11104 Punch biopsy, first skin growth	13	12	$385.23	$123.54
83550 Iron binding capacity	11	11	$40.27	$8.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	276	51	$39.54	$5.61
99202 New patient office or other outpatient visit, typically 20 minutes	121	121	$143.61	$72.22
99213 Established patient office or other outpatient visit, typically 15 minutes	92	82	$122.00	$70.63
11102 Tangential biopsy of single skin lesion	87	78	$285.86	$83.87
17000 Destruction of skin growth	78	73	$184.00	$46.05
11103 Biopsy of related skin growth, each additional growth	48	31	$154.17	$49.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	42	$181.25	$103.36
17110 Destruction of up to 14 skin growths	48	41	$253.25	$100.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$76.93	$42.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$196.05	$102.31
17004 Destruction of precancer skin growth, 15 or more growths	34	29	$506.18	$145.18
36415 Insertion of needle into vein for collection of blood sample	23	22	$14.09	$2.90
11104 Punch biopsy, first skin growth	15	15	$358.20	$107.56
80053 Blood test, comprehensive group of blood chemicals	13	13	$51.69	$10.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$42.00	$7.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	318	48	$22.00	$5.21
17000 Destruction of skin growth	65	61	$184.00	$43.53
99213 Established patient office or other outpatient visit, typically 15 minutes	60	52	$119.00	$70.03
11102 Tangential biopsy of single skin lesion	54	48	$270.00	$87.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	46	$180.00	$102.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$179.00	$102.40
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$123.00	$71.76
17110 Destruction of up to 14 skin growths	35	32	$255.00	$98.21
11103 Biopsy of related skin growth, each additional growth	30	14	$146.00	$49.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$72.00	$42.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,299	214	$73.88	$5.06
17000 Destruction of skin growth	330	265	$303.63	$48.52
99213 Established patient office or other outpatient visit, typically 15 minutes	293	216	$188.52	$70.58
11100 Biopsy of single growth of skin and/or tissue	247	219	$330.48	$94.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	246	208	$273.20	$102.92
99202 New patient office or other outpatient visit, typically 20 minutes	177	177	$223.46	$72.17
11101 Biopsy of each additional growth of skin and/or tissue	153	98	$196.50	$32.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$291.03	$105.19
17110 Destruction of up to 14 skin growths	128	115	$341.58	$102.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	60	57	$147.53	$42.15
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	49	36	$570.30	$108.03
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	21	$16.33	$1.83
17004 Destruction of precancer skin growth, 15 or more growths	33	29	$734.31	$139.77
11900 Injection into skin growth, 1-7 growths	29	20	$201.78	$41.09
Q0112 All potassium hydroxide (koh) preparations	27	24	$59.68	$5.71
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	17	$854.43	$291.45
17111 Destruction of skin growth, 15 or more growths	20	12	$366.50	$125.99
69100 Biopsy of ear	15	15	$677.59	$74.27
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$936.14	$129.43
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	12	11	$527.46	$61.82
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$633.83	$145.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,072	179	$73.88	$5.38
95044 Test for allergy using skin patch	1,040	12	$56.15	$5.27
11100 Biopsy of single growth of skin and/or tissue	361	304	$330.48	$90.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	214	$273.20	$103.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	309	309	$291.88	$103.28
17000 Destruction of skin growth	288	234	$303.63	$44.66
99213 Established patient office or other outpatient visit, typically 15 minutes	275	191	$188.52	$70.08
11101 Biopsy of each additional growth of skin and/or tissue	259	133	$196.50	$31.47
99202 New patient office or other outpatient visit, typically 20 minutes	239	239	$223.46	$71.96
17110 Destruction of up to 14 skin growths	134	106	$341.58	$101.12
17004 Destruction of precancer skin growth, 15 or more growths	78	55	$734.31	$142.62
69100 Biopsy of ear	39	36	$677.59	$72.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	32	$147.53	$40.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	35	15	$16.33	$1.82
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	24	$570.30	$114.69
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	27	$854.43	$243.42
Q0112 All potassium hydroxide (koh) preparations	27	24	$59.68	$5.74
17111 Destruction of skin growth, 15 or more growths	27	18	$366.50	$119.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	14	$695.89	$150.86
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$179.29	$42.28
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$617.67	$77.30

Medical Specialties & State Licenses

CMS Verified: 2023-10-30

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036.140268

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Iowa Physicians Clinic Medical Foundation

870 36th Ave, Moline, IL 612657159

Phone: 3096237100

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. David Ade , MD

Internal Medicine

NPI 1972589042

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events

📍

Updated Practice Location October 30, 2023

Registered at 870 36TH AVE, MOLINE, IL 612657159 (Tel: 3096237100)

📍

Updated Business Mailing Address October 30, 2023

Registered at 870 36TH AVE, MOLINE, IL 612657159 (Tel: 3096237100)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2023

Dermatology (License #036.140268 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2022

Dermatology (License #71352 in MN)

📍

Updated Business Mailing Address April 06, 2021

Registered at 1515 DELHI ST, DUBUQUE, IA 520016320 (Tel: 5635579111)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2020

Dermatology (License #390200000X in WI)

📍

Updated Practice Location August 13, 2020

Registered at 3405 LAKE RIDGE DR, DUBUQUE, IA 520037800 (Tel: 5635573990)

📍

Updated Business Mailing Address August 13, 2020

Registered at 4010 KATHLEEN WAY, DAVENPORT, IA 528073931 (Tel: 3097214229)

📍

Updated Practice Location July 17, 2019

Registered at 1001 E PRIMROSE ST, SPRINGFIELD, MO 65807 (Tel: 4178753000)

📍

Updated Business Mailing Address July 17, 2019

Registered at 1001 E PRIMROSE ST, SPRINGFIELD, MO 658075155 (Tel: 4178753000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2019

Dermatology (License #2019016837 in MO)

✅

NPI Profile Active October 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 28, 2016

Registered at 615 VALLEY VIEW DR, SUITE 204, MOLINE, IL 612656150 (Tel: 3092776552)

📍

Updated Business Mailing Address October 28, 2016

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 8666309882)

👤

Provider Name / Credentials Updated October 28, 2016

Recorded as RACHEL KOZICZKOWSKI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2016

Dermatology (License #390200000X in WI)

🟢

Initial NPI Registration & Enumeration May 04, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720306590

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 04, 2010

Last Update: October 30, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

870 36th Ave

Moline, IL 612657159

Phone: 3096237100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.