KEVIN R KOZAK (MD, PHD) – Radiation Oncology Physician, NPI 1124219241

KEVIN R KOZAK (MD, PHD) is a healthcare provider. based in Fort myers, Florida. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD, PHD. They hold a License No. ME148357 (FL). The NPI Number for KEVIN R KOZAK (MD, PHD) is 1124219241

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN R KOZAK (MD, PHD)
NPI
1124219241
Phone
(239) 215-1180
Address
1860 BOY SCOUT DR STE 201
Enumeration Date
5 August 2007
Last Update Date
23 June 2025

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8159715000
Graduation Year
2003 (23 years ago)
PAC ID
3173696465
Group Practice PAC ID
2567374036
Professional Enrollment ID
I20090127000736
Address ID
IL611033655RO2400XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:18State licenses:3Digital endpointsOther names

494 RADIATION ONCOLOGY in FL

Provider Addresses for KEVIN R KOZAK (MD, PHD)

  • 1860 BOY SCOUT DR STE 201

    FORT MYERS, FL 339072119

    Phone: (239) 215-1180

    Fax: (239) 215-1179

    Type: Mailing

  • 25243 ELEMENTARY WAY

    BONITA SPRINGS, FL 341357898

    Phone: (239) 317-2772

    Fax: (239) 676-7637

    Type: Location

  • Mercy Health Hospital & Trauma Center, 1000, Mineral Point Avenue, Janesville, Rock County, Wisconsin, 53548, United States

    JANESVILLE, WI 535482940

    Phone: (608) 756-6500

    Fax: (608) 756-6501

    Type: Mailing

  • 25243 Elementary Way

    Bonita Springs, FL 341357898

    Phone: (239) 317-2772

    Fax: (239) 676-7637

    Type: Location

  • 1000 Mineral Point Ave

    Janesville, WI 535482940

    Phone: (608) 756-6500

    Fax: (608) 756-6501

    Type: Location

  • 707 14TH ST

    BARABOO, WI 539131539

    Phone: (608) 356-1400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $398.

Total Amount is formed as General ($398) + Research ($0) + Ownership ($0) = $398.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Inari Medical, Inc. ($254).

Total Amount

$398

General + Research + Ownership

Payments

6

Total payment records

General Amount

$398

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080719000084IRadiation OncologyWITBD
I20090127000736IRadiation OncologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields1,19057$0
77427Radiation treatment management, 5 treatment sessions32885$0
77300Calculation of radiation therapy dose32191$0
77334Design and construction of complex radiation treatment device24390$0
99212Established patient office or other outpatient visit, 10-19 minutes184147$0
View full utilization report →

Insurance plans in this area (ZIP 33907)

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Provider's Procedures

KEVIN R KOZAK (MD, PHD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYWI77263Management of radiation therapy, complex119107
RADIATION ONCOLOGYWI77427Radiation treatment management, 5 treatments40199

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567374036View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm KEVIN R KOZAK (MD, PHD)'s NPI?
Yes. KEVIN R KOZAK (MD, PHD) is listed with NPI 1124219241 in the public NPI dataset.
Can I rely on KEVIN R KOZAK (MD, PHD) being an active provider?
As of the registry snapshot, KEVIN R KOZAK (MD, PHD) is marked active.
What is KEVIN R KOZAK (MD, PHD)'s specialty?
The listing groups KEVIN R KOZAK (MD, PHD) with Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is KEVIN R KOZAK (MD, PHD) based?
KEVIN R KOZAK (MD, PHD) is tied to Fort Myers, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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