Active NPI 1134516172 Individual Practitioner Male Practitioner

Dr. Kurtis Kostan , MD

Internal Medicine • Tyler, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kurtis Kostan, MD is a certified Internal Medicine practicing in Tyler, TX. With approximately 11 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 2015, Dr. Kostan delivers high-quality medical care to the local community at 2210 THREE LAKES PKWY STE 100.

Dr. Kostan is affiliated with Etmc Physician Group, 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, chronic care management services, first, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2210 Three Lakes Pkwy Ste 100

Tyler, TX 757030642

Telephone 9037474050

Fax 9037474075

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tyler, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -10.1 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (9538 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

51.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kostan (11 Years) 11 Yrs

Tyler Specialty Average (21.1 Years) 21.1 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	326	160	$238.00	$121.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	206	38	$125.00	$59.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	123	123	$154.00	$122.80
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	73	23	$61.00	$45.56
99213 Established patient office or other outpatient visit, typically 15 minutes	56	40	$160.00	$84.28
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	36	36	$795.00	$289.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$365.00	$152.72
G0009 Administration of pneumococcal vaccine	35	35	$25.00	$24.50
71046 X-ray of chest, 2 views	32	27	$68.00	$21.56
G0008 Administration of influenza virus vaccine	30	30	$25.00	$24.50
90653 Vaccine for influenza for injection into muscle	30	30	$70.00	$68.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	16	$41.00	$13.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	20	13	$15.00	$1.18
99495 Transitional care management services for problem of at least moderate complexity	16	14	$282.00	$195.54
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	14	13	$221.00	$68.88

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	294	147	$238.00	$121.97
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	133	20	$125.00	$59.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	78	78	$154.00	$123.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$365.00	$160.03
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	43	14	$77.74	$45.29
99213 Established patient office or other outpatient visit, typically 15 minutes	43	31	$160.00	$81.84
G0008 Administration of influenza virus vaccine	24	24	$25.00	$24.50
G0009 Administration of pneumococcal vaccine	24	24	$25.00	$24.50
90662 Influenza vaccine split virus, preservative free	21	21	$70.00	$68.60
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	21	21	$795.00	$282.66
71046 X-ray of chest, 2 views	20	18	$66.20	$21.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	13	$41.00	$13.54
99496 Transitional care management services for problem of high complexity	13	13	$400.00	$264.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	76	$160.00	$87.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	50	$238.00	$123.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$239.00	$108.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$154.00	$127.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$365.00	$162.47
71046 X-ray of chest, 2 views	22	22	$66.36	$22.08
G0008 Administration of influenza virus vaccine	19	19	$25.00	$24.53
90662 Influenza vaccine split virus, preservative free	13	13	$70.00	$68.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	262	93	$741.10	$101.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	24	$512.49	$70.31
99239 Hospital discharge day management, more than 30 minutes	42	40	$763.71	$104.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	29	$1439.50	$195.85
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$160.00	$90.05
99220 Hospital observation care, typically 70 minutes	11	11	$1318.91	$177.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	493	133	$161.07	$71.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	137	136	$492.19	$197.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	108	42	$721.11	$103.23
99239 Hospital discharge day management, more than 30 minutes	97	97	$344.40	$105.09
99220 Hospital observation care, typically 70 minutes	34	34	$500.90	$183.60
99217 Hospital observation care on day of discharge	13	13	$285.20	$69.00
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	13	13	$54.15	$25.93
99226 Subsequent observation care, typically 35 minutes per day	13	11	$496.38	$103.39
99219 Hospital observation care, typically 50 minutes	13	13	$370.95	$134.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	682	208	$140.00	$71.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	329	317	$392.40	$193.15
99220 Hospital observation care, typically 70 minutes	152	152	$360.00	$179.93
99239 Hospital discharge day management, more than 30 minutes	112	110	$207.00	$103.94
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	32	31	$54.00	$25.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	32	23	$202.41	$101.73
99225 Subsequent observation care, typically 25 minutes per day	24	17	$141.00	$71.48
99291 Critical care, first 30-74 minutes	24	24	$526.00	$214.13
99224 Subsequent observation care, typically 15 minutes per day	20	15	$78.00	$38.94
99217 Hospital observation care on day of discharge	16	16	$140.00	$71.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	221	79	$140.00	$70.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	124	124	$393.00	$197.80
99220 Hospital observation care, typically 70 minutes	57	56	$360.00	$180.15
99239 Hospital discharge day management, more than 30 minutes	47	47	$207.00	$103.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	19	$203.00	$102.25

Medical Specialties & State Licenses

CMS Verified: 2021-10-14

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX S4168

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.

Hospital & Practice Group Affiliations

Etmc Physician Group, Inc.

2210 Three Lakes Pkwy, Tyler, TX 757030642

Phone: 9037474050

Etmc Physician Group, Inc.

18118 Fm 344, Flint, TX 757626010

Phone: 9038253292

Practice Associates & Co-Workers

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

9 Associated Practitioners

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Family Medicine

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Doctor of Medicine (M.D.)

Amie Bevis , NP

Nurse Practitioner

NPI 1225765795

Nurse Practitioner

Dr. Danielle Dupre , AuD

Audiologist

NPI 1285251181

Doctor of Audiology

Dr. Christopher Perro , MD

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NPI 1346462496

Doctor of Medicine (M.D.)

Tammye Willis , APRN, FNP-C

Nurse Practitioner - Family

NPI 1598279788

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Katherine Bowman , AuD

Audiologist

NPI 1609982420

Doctor of Audiology

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location October 14, 2021

Registered at 2210 THREE LAKES PKWY STE 100, TYLER, TX 757030642 (Tel: 9037474050)

📍

Updated Business Mailing Address October 14, 2021

Registered at 2210 THREE LAKES PKWY STE 100, TYLER, TX 757030642 (Tel: 9037474050)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2021

Internal Medicine (License #S4168 in TX)

📍

Updated Practice Location October 03, 2018

Registered at 2551 GREENWOOD RD STE 410, SHREVEPORT, LA 711033989 (Tel: 3186212929)

📍

Updated Business Mailing Address October 03, 2018

Registered at 1202 LOUISIANA AVE, SHREVEPORT, LA 711013910 (Tel: 3182128951)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2018

Hospitalist (License #MD.308102 in LA)

✅

NPI Profile Active April 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 16, 2015

Registered at 1501 KINGS HWY, NEUROLOGY, SHREVEPORT, LA 711034228 (Tel: 3188132482)

📍

Updated Business Mailing Address April 16, 2015

Registered at 1501 KINGS HWY, NEUROLOGY, SHREVEPORT, LA 711034228 (Tel: 3188132482)

👤

Provider Name / Credentials Updated April 16, 2015

Recorded as KURTIS KOSTAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1134516172

Entity Type:

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

Enumeration Date: April 16, 2015

Last Update: October 14, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2210 Three Lakes Pkwy Ste 100

Tyler, TX 757030642

Phone: 9037474050

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.