KEITH MICHAEL KOZENY (M.D.) – Procedural Dermatology Physician, NPI 1619971157
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
703 DERMATOLOGY in IL
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Provider Addresses for KEITH MICHAEL KOZENY (M.D.)
West Lake Cook Road, Buffalo Grove, Wheeling Township, Cook County, Illinois, 60089, United States
STE 110
BUFFALO GROVE, IL 600892089
Phone: (847) 459-6611
Fax: (847) 459-7929
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 329 Open Payments records for all available years, with a total value of $71,454.
Total Amount is formed as General ($71,454) + Research ($0) + Ownership ($0) = $71,454.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: GENZYME CORPORATION ($20,924).
Total Amount
$71,454
General + Research + Ownership
Payments
329
Total payment records
General Amount
$71,454
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $20,924 |
| Regeneron Healthcare Solutions, Inc. | $16,663 |
| Sun Pharmaceutical Industries Inc. | $15,346 |
| Amgen Inc. | $9,305 |
| ABBVIE INC. | $5,296 |
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: 2005-10-26
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 |
|---|---|---|---|---|
| I20051026001057 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,000 | 241 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 557 | 120 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 498 | 398 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 420 | 327 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 398 | 321 | $0 |
Insurance plans in this area (ZIP 60089)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | IL | 11101 | Biopsy of each additional growth of skin and/or tissue | 163 | 111 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL | |
| D E R M A T O L O G Y | IL |
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