DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) – Ophthalmology Physician, NPI 1215927702

DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) is a healthcare provider. based in Palm coast, Florida. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. 107827 (MO). The NPI Number for DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) is 1215927702

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.)
NPI
1215927702
Phone
(386) 446-9590
Address
3 PINE CONE DR
Enumeration Date
25 October 2005
Last Update Date
1 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
6305916941
Professional Enrollment ID
I20081105000660
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.)

  • 3, Pine Cone Drive, Palm Coast, Flagler County, Florida, 32137, United States

    SUITE 104

    PALM COAST, FL 321378685

    Phone: (386) 446-9590

    Fax: (386) 446-2245

    Type: Mailing

  • 1051 OCEAN SHORE BLVD APT 202

    ORMOND BEACH, FL 321764179

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $175.

Total Amount is formed as General ($175) + Research ($0) + Ownership ($0) = $175.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Thea Pharma Inc. ($58).

Total Amount

$175

General + Research + Ownership

Payments

9

Total payment records

General Amount

$175

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

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: 2023-12-20

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
I20081105000660IOphthalmologyFLTBD
I20231220003508IGeneral PracticeMOTBD

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
92014Established patient complete exam of visual system885684$0
99213Established patient office or other outpatient visit, 20-29 minutes585412$0
92083Exam of visual field with extended testing537426$0
92134Imaging of retina525396$0
92250Photography of the retina451432$0
View full utilization report →

Insurance plans in this area (ZIP 32137)

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Provider's Procedures

DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92083Measurement of field of vision during daylight conditions718624

Reviews

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Frequently asked questions

How is DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) with NPI 1215927702.
Can I rely on DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) being an active provider?
As of the registry snapshot, DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) is marked active.
What taxonomy line describes DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.)?
For research purposes, treat DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) list a practice location?
Patients near Palm Coast, Florida may find DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) in results; validate coverage separately.
Is the information about DR. ALEXANDRA MARION PAMELA KOSTICK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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