ROMAN O KOZYCKYJ (MD) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1184603961
Hospice and Palliative Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for ROMAN O KOZYCKYJ (MD)
6345 W 79th St
Burbank, IL 604591133
Phone: (844) 725-5238
Fax: (708) 346-8285
Type: Location
West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60457, United States
SUITE 206
OAK LAWN, IL 604532533
Phone: (708) 229-2240
Fax: (708) 229-2494
Type: Mailing
4700 W 95th St
Suite 206
Oak Lawn, IL 604532533
Phone: (708) 229-2240
Fax: (708) 229-2494
Type: Location
9007 S BELL AVE
CHICAGO, IL 606436419
Phone: (312) 718-1139
Type: Mailing
29373 NETWORK PL
CHICAGO, IL 606731293
Phone: (847) 390-5900
Type: Mailing
6345 W 79TH ST
BURBANK, IL 604591133
Phone: (844) 725-5238
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2023-11-03 • Largest payer in this snapshot: Novo Nordisk Inc ($69).
Total Amount
$69
General + Research + Ownership
Payments
1
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $69 |
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: 2007-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070416000155 | I | Internal Medicine | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99497 | Advance care planning, first 30 minutes | 99 | 72 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 78 | 71 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 58 | 39 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 56 | 33 | $0 |
| G0316 | Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 38 | 18 | $0 |
Insurance plans in this area (ZIP 60459)
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