Active NPI 1578527388 Individual Practitioner Male Practitioner

Dr. Michael Sostok , MD

Internal Medicine • Cincinnati, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sostok, MD is a certified Internal Medicine practicing in Cincinnati, OH. With approximately 42 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1984, Dr. Sostok delivers high-quality medical care to the local community at 222 PIEDMONT AVE.

Dr. Sostok maintains professional affiliations with University Of Cincinnati Physicians Company Llc, Kentucky Rehabilitation Services, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

222 Piedmont Ave

Cincinnati, OH 45219

Telephone 5134757880

Fax 5134758766

Associated Practice Facility / Clinic

🏢 University Orthopaedic Consultants Of Cincinnti, Inc. Facility NPI 1104829514

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +19.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

593 Specialists

Practicing in Cincinnati, OH (5516 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

71.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sostok (42 Years) 42 Yrs

Cincinnati Specialty Average (22.3 Years) 22.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	169	$300.22	$82.84
99213 Established patient office or other outpatient visit, typically 15 minutes	176	127	$211.28	$67.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$371.00	$31.99
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	66	54	$47.00	$15.67
G0444 Annual depression screening, 5 to 15 minutes	36	36	$51.00	$17.45
G0008 Administration of influenza virus vaccine	22	22	$50.00	$30.39
90662 Influenza vaccine split virus, preservative free	21	21	$136.00	$81.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	400	219	$303.00	$78.90
99213 Established patient office or other outpatient visit, typically 15 minutes	105	86	$213.46	$67.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	76	76	$371.00	$48.43
G0444 Annual depression screening, 5 to 15 minutes	60	60	$51.00	$17.24
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$52.00	$13.72
G0008 Administration of influenza virus vaccine	22	22	$50.00	$29.36
90662 Influenza vaccine split virus, preservative free	21	21	$136.00	$71.93
81002 Urinalysis, manual test	11	11	$7.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	163	$284.03	$79.48
99213 Established patient office or other outpatient visit, typically 15 minutes	153	125	$193.47	$70.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$323.45	$52.05
G0444 Annual depression screening, 5 to 15 minutes	37	37	$46.24	$17.48
G0008 Administration of influenza virus vaccine	30	30	$50.00	$27.95
90662 Influenza vaccine split virus, preservative free	29	29	$136.00	$68.54
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$50.65	$13.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$106.81	$69.95
99441 Telephone medical discussion with physician, 5-10 minutes	21	20	$120.48	$52.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	221	130	$174.77	$88.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	111	$260.00	$125.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$281.00	$128.66
G0444 Annual depression screening, 5 to 15 minutes	57	57	$43.00	$17.81
90662 Influenza vaccine split virus, preservative free	38	37	$100.00	$65.15
G0008 Administration of influenza virus vaccine	38	37	$41.00	$16.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	22	$105.00	$52.52
99441 Telephone medical discussion with physician, 5-10 minutes	22	20	$110.00	$54.37
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$49.00	$14.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	124	$175.00	$72.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	64	$260.00	$106.02
99441 Telephone medical discussion with physician, 5-10 minutes	56	44	$110.00	$43.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$281.00	$111.64
G0008 Administration of influenza virus vaccine	37	37	$41.00	$16.04
90662 Influenza vaccine split virus, preservative free	36	36	$100.00	$60.30
99442 Telephone medical discussion with physician, 11-20 minutes	29	23	$183.00	$72.38
G0444 Annual depression screening, 5 to 15 minutes	21	21	$43.00	$17.37
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$49.00	$16.42
G0009 Administration of pneumococcal vaccine	15	15	$41.00	$16.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	491	234	$175.00	$70.68
93793 Anticoagulant management of patient taking warfarin	127	14	$35.00	$11.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	96	$260.00	$103.70
G0008 Administration of influenza virus vaccine	49	49	$41.00	$15.75
90662 Influenza vaccine split virus, preservative free	45	45	$100.00	$54.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$281.00	$110.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	17	$111.18	$38.52
G0444 Annual depression screening, 5 to 15 minutes	33	33	$43.00	$17.07
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$49.00	$16.22
G0009 Administration of pneumococcal vaccine	16	16	$41.00	$15.75
99239 Hospital discharge day management, more than 30 minutes	15	15	$263.00	$101.61
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$129.00	$50.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	480	215	$175.00	$68.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	100	$260.00	$101.63
93793 Anticoagulant management of patient taking warfarin	103	12	$35.00	$11.62
G0008 Administration of influenza virus vaccine	50	49	$41.00	$19.30
90662 Influenza vaccine split virus, preservative free	48	47	$100.00	$51.95
G0444 Annual depression screening, 5 to 15 minutes	39	39	$43.00	$17.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$281.00	$111.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	11	$178.00	$63.58
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$49.00	$16.18
81002 Urinalysis, manual test	19	18	$8.00	$3.28
G0009 Administration of pneumococcal vaccine	16	16	$41.00	$19.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	383	182	$175.00	$68.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	83	$260.00	$100.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	18	$178.00	$69.27
G0008 Administration of influenza virus vaccine	57	56	$41.00	$23.76
90662 Influenza vaccine split virus, preservative free	54	54	$100.00	$47.16
G0444 Annual depression screening, 5 to 15 minutes	36	36	$43.00	$17.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$281.00	$110.51
G0009 Administration of pneumococcal vaccine	23	23	$41.00	$23.76
81002 Urinalysis, manual test	22	18	$8.00	$3.03
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$49.00	$15.18
99239 Hospital discharge day management, more than 30 minutes	13	13	$263.00	$96.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$501.00	$181.36
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$248.00	$93.24
90670 Pneumococcal vaccine for injection into muscle	11	11	$262.00	$186.73

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35055172S

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200073360 (IN)

Medicaid State Provider ID

0666962 (OH)

Medicaid State Provider ID

64864283 (KY)

Hospital & Practice Group Affiliations

Kentucky Rehabilitation Services, Inc.

580 Buttermilk Pike, Crescent Springs, KY 410171635

Phone: 8593416654

University Of Cincinnati Physicians Company Llc

222 Piedmont Ave, Cincinnati, OH 452194231

Phone: 5134757855

Practice Associates & Co-Workers

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

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Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 26, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 26, 2018

Registered at PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855501)

📍

Updated Practice Location January 26, 2018

Registered at 222 PIEDMONT AVE, CINCINNATI, OH 45219 (Tel: 5134757880)

👤

Provider Name / Credentials Updated January 26, 2018

Recorded as MICHAEL SOSTOK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Internal Medicine (License #35055172S in OH)

✅

NPI Profile Active March 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 12, 2013

Registered at 222 PIEDMONT AVE, CINCINNATI, OH 45219 (Tel: 5134757880)

📍

Updated Business Mailing Address March 12, 2013

Registered at 222 PIEDMONT AVE, SUITE 6000, CINCINNATI, OH 452194231 (Tel: 5134757880)

👤

Provider Name / Credentials Updated March 12, 2013

Recorded as MICHAEL SOSTOK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2013

Internal Medicine (License #35055172S in OH)

🟢

Initial NPI Registration & Enumeration April 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578527388

Entity Type:

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

Enumeration Date: April 17, 2006

Last Update: January 26, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636256 Central Credentialing

Cincinnati, OH 452636256

Phone: 5135855501

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.