Active NPI 1497783468 Individual Practitioner Male Practitioner

Dr. James J Kosik , DO

Internal Medicine • Avoca, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Kosik, DO is a certified Internal Medicine practicing in Avoca, PA. With approximately 36 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1990, Dr. Kosik delivers high-quality medical care to the local community at 824 MCALPINE ST.

Dr. Kosik 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, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

824 Mcalpine St

Avoca, PA 186411140

Telephone 5704579299

Fax 5704575014

Associated Practice Facility / Clinic

🏢 James J Kosik, Do, Pc Facility NPI 1013020551

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Avoca, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Avoca, PA (7609 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

20.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kosik (36 Years) 36 Yrs

Avoca Specialty Average (36.0 Years) 36.0 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	282	176	$150.00	$124.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$200.00	$126.31
G0444 Annual depression screening, 5 to 15 minutes	147	147	$30.00	$18.17
99497 Advance care planning, first 30 minutes	140	140	$95.00	$80.59
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	130	103	$20.00	$16.04
99213 Established patient office or other outpatient visit, typically 15 minutes	80	59	$100.00	$86.79
G0008 Administration of influenza virus vaccine	71	66	$50.00	$30.77
99495 Transitional care management services for problem of at least moderate complexity	43	35	$228.84	$197.90
90662 Influenza vaccine split virus, preservative free	39	37	$99.62	$81.57
90673 Influenza vaccine, trivalent derived from recombinant dna	26	25	$113.46	$81.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	14	$125.00	$115.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$60.00	$52.78

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	309	187	$150.00	$122.17
99497 Advance care planning, first 30 minutes	173	172	$95.00	$80.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$200.00	$125.47
G0444 Annual depression screening, 5 to 15 minutes	155	155	$30.00	$17.66
G0008 Administration of influenza virus vaccine	72	69	$50.00	$29.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	24	$125.00	$116.44
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$100.00	$86.94
90662 Influenza vaccine split virus, preservative free	37	36	$85.00	$71.93
99495 Transitional care management services for problem of at least moderate complexity	36	28	$205.00	$197.51
90682 Influenza vaccine, quadrivalent derived from recombinant dna	29	27	$87.41	$71.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	18	$195.65	$163.16
99238 Hospital discharge day management, 30 minutes or less	20	13	$150.00	$78.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	16	$100.00	$77.39
69210 Removal of impacted ear wax	13	11	$85.00	$46.16

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	300	197	$150.00	$124.95
99497 Advance care planning, first 30 minutes	162	162	$95.00	$83.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	139	139	$200.00	$128.61
G0444 Annual depression screening, 5 to 15 minutes	136	136	$30.00	$17.95
99213 Established patient office or other outpatient visit, typically 15 minutes	74	59	$100.00	$88.55
G0008 Administration of influenza virus vaccine	71	69	$50.00	$28.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	26	$125.00	$100.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	25	$100.00	$70.03
90662 Influenza vaccine split virus, preservative free	35	35	$81.29	$68.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$200.00	$165.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	24	$200.00	$194.24
90682 Influenza vaccine, quadrivalent derived from recombinant dna	24	23	$82.92	$68.54
99337 Established patient assisted living visit, typically 60 minutes	23	11	$260.00	$188.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	20	11	$100.00	$67.17
99495 Transitional care management services for problem of at least moderate complexity	20	18	$205.00	$192.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$59.17	$55.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$75.00	$38.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$180.00	$178.11
99238 Hospital discharge day management, 30 minutes or less	13	12	$150.00	$70.39
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	11	$50.00	$20.06

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	309	209	$148.64	$127.60
99497 Advance care planning, first 30 minutes	165	163	$95.00	$84.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	139	139	$200.00	$131.31
G0444 Annual depression screening, 5 to 15 minutes	110	110	$30.00	$18.33
99213 Established patient office or other outpatient visit, typically 15 minutes	88	63	$100.00	$90.31
G0008 Administration of influenza virus vaccine	77	77	$50.00	$16.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	31	$125.00	$102.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	54	27	$100.00	$71.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	48	11	$30.00	$13.76
99495 Transitional care management services for problem of at least moderate complexity	40	35	$204.75	$203.28
90662 Influenza vaccine split virus, preservative free	39	39	$75.00	$65.26
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$200.00	$166.68
90682 Influenza vaccine, quadrivalent derived from recombinant dna	34	34	$75.00	$65.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	28	$200.00	$198.06
99238 Hospital discharge day management, 30 minutes or less	30	26	$150.00	$71.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	13	$75.00	$38.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$55.00	$54.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$165.00	$166.35

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	235	169	$120.00	$106.46
99497 Advance care planning, first 30 minutes	182	182	$95.00	$86.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	161	161	$200.00	$115.12
G0008 Administration of influenza virus vaccine	109	108	$48.62	$16.28
99213 Established patient office or other outpatient visit, typically 15 minutes	100	69	$100.00	$73.29
G0444 Annual depression screening, 5 to 15 minutes	87	87	$30.00	$17.93
90682 Influenza vaccine, quadrivalent derived from recombinant dna	70	69	$75.00	$60.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	68	37	$125.00	$104.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	31	$100.00	$72.71
99443 Telephone medical discussion with physician, 21-30 minutes	56	56	$100.00	$98.63
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	33	14	$100.00	$69.32
90662 Influenza vaccine split virus, preservative free	32	32	$69.38	$57.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	17	$75.00	$39.53
99495 Transitional care management services for problem of at least moderate complexity	31	28	$200.00	$183.11
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	31	31	$50.00	$26.44
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$200.00	$170.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$200.00	$202.06
99336 Established patient assisted living visit, typically 40 minutes	22	15	$125.00	$126.02
99238 Hospital discharge day management, 30 minutes or less	21	21	$150.00	$73.52
99335 Established patient assisted living visit, typically 25 minutes	19	13	$70.00	$70.39
99442 Telephone medical discussion with physician, 11-20 minutes	19	18	$65.00	$65.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	11	$41.00	$22.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$50.00	$44.85
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$150.00	$152.14
99306 Initial nursing facility visit, typically 45 minutes per day	15	14	$200.00	$167.76
99441 Telephone medical discussion with physician, 5-10 minutes	13	13	$50.00	$44.49

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	352	230	$120.00	$105.25
99497 Advance care planning, first 30 minutes	215	214	$95.00	$83.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$200.00	$112.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	134	57	$125.00	$102.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	132	53	$100.00	$71.58
99213 Established patient office or other outpatient visit, typically 15 minutes	124	84	$100.00	$71.74
G0008 Administration of influenza virus vaccine	119	117	$25.00	$15.95
93793 Anticoagulant management of patient taking warfarin	118	16	$20.00	$11.76
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	77	77	$200.00	$166.11
90682 Influenza vaccine, quadrivalent derived from recombinant dna	71	71	$50.00	$48.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	25	$75.00	$38.79
99495 Transitional care management services for problem of at least moderate complexity	59	43	$200.00	$158.77
99238 Hospital discharge day management, 30 minutes or less	57	40	$150.00	$71.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	34	$200.00	$196.95
90662 Influenza vaccine split virus, preservative free	45	43	$45.00	$44.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	41	23	$41.00	$21.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	11	$30.00	$16.07
99336 Established patient assisted living visit, typically 40 minutes	33	15	$125.00	$123.24
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	29	12	$100.00	$67.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$50.00	$43.66
69210 Removal of impacted ear wax	18	18	$85.00	$46.23
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$153.57	$148.06
99306 Initial nursing facility visit, typically 45 minutes per day	13	12	$200.00	$163.74
G0444 Annual depression screening, 5 to 15 minutes	13	13	$30.00	$17.31
G0009 Administration of pneumococcal vaccine	11	11	$25.00	$15.95

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	419	226	$120.00	$104.67
99497 Advance care planning, first 30 minutes	141	141	$95.04	$83.07
99213 Established patient office or other outpatient visit, typically 15 minutes	127	92	$100.00	$70.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	126	126	$200.00	$112.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	115	57	$125.00	$102.83
G0008 Administration of influenza virus vaccine	111	109	$25.00	$19.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	37	$100.00	$71.79
90682 Influenza vaccine, quadrivalent derived from recombinant dna	75	73	$50.00	$49.00
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	64	18	$100.00	$68.13
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	62	62	$200.00	$166.85
93793 Anticoagulant management of patient taking warfarin	58	11	$20.00	$11.72
99495 Transitional care management services for problem of at least moderate complexity	51	40	$200.00	$159.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	44	19	$41.00	$20.71
99238 Hospital discharge day management, 30 minutes or less	40	34	$150.00	$71.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	37	$200.00	$196.88
90662 Influenza vaccine split virus, preservative free	33	33	$45.00	$44.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	16	$75.00	$38.73
G0009 Administration of pneumococcal vaccine	26	26	$25.00	$19.57
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	25	24	$50.00	$25.23
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	24	13	$75.00	$43.76
G0444 Annual depression screening, 5 to 15 minutes	17	17	$30.00	$17.28
90670 Pneumococcal vaccine for injection into muscle	16	16	$200.00	$195.55
99306 Initial nursing facility visit, typically 45 minutes per day	16	16	$200.00	$164.09
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	14	11	$125.00	$89.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$145.00	$143.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$139.55	$103.56

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	470	228	$120.00	$103.94
99213 Established patient office or other outpatient visit, typically 15 minutes	147	94	$90.14	$70.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	116	63	$100.00	$70.76
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	111	111	$200.00	$110.51
G0444 Annual depression screening, 5 to 15 minutes	110	110	$30.00	$17.19
G0008 Administration of influenza virus vaccine	107	106	$25.00	$24.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	59	$125.00	$102.31
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	83	83	$35.00	$17.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	66	21	$100.00	$67.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	35	$200.00	$196.83
99238 Hospital discharge day management, 30 minutes or less	40	30	$150.00	$70.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	19	$75.00	$38.53
G0009 Administration of pneumococcal vaccine	32	32	$25.00	$24.05
90662 Influenza vaccine split virus, preservative free	24	23	$45.00	$44.10
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	23	22	$50.00	$25.10
90670 Pneumococcal vaccine for injection into muscle	22	22	$200.00	$187.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	19	11	$125.00	$88.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	15	14	$41.00	$19.27

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA OS007465-L

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Deborah Khalife , PA-C

Physician Assistant

NPI 1063855237

Physician Assistant (Certified)

Joann Kosik , MHA, PA-C

Physician Assistant - Medical

NPI 1295848646

MHA, Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 824 MCALPINE ST, AVOCA, PA 186411140 (Tel: 5704579299)

📍

Updated Business Mailing Address July 08, 2007

Registered at 824 MCALPINE ST, AVOCA, PA 186411140 (Tel: 5704579299)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES KOSIK, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #OS007465-L in PA)

🟢

Initial NPI Registration & Enumeration June 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. James Kosik. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1497783468

Entity Type:

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

Enumeration Date: June 29, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

824 Mcalpine St

Avoca, PA 186411140

Phone: 5704579299

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.