DR. RACHEL ADE KOZICZKOWSKI (M.D.) – Dermatology Physician, NPI 1720306590
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
125 DERMATOLOGY in IA
Provider Addresses for DR. RACHEL ADE KOZICZKOWSKI (M.D.)
870 36TH AVE
MOLINE, IL 612657159
Phone: (309) 623-7100
Type: Mailing
4010 KATHLEEN WAY
DAVENPORT, IA 528073931
Phone: (309) 721-4229
Type: Mailing
3405 LAKE RIDGE DR
DUBUQUE, IA 520037800
Phone: (563) 557-3990
Type: Location
1515 DELHI ST
DUBUQUE, IA 520016320
Phone: (563) 557-9111
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 $179.
Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Organon LLC ($30).
Total Amount
$179
General + Research + Ownership
Payments
9
Total payment records
General Amount
$179
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-09-15
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 |
|---|---|---|---|---|
| I20160915002566 | 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 | 235 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 49 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 54 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 39 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 34 | 32 | $0 |
Insurance plans in this area (ZIP 61265)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Infectious Disease, Internal Medicine | IA | |
| Family Practice | IA | |
| Internal Medicine, Hospitalist | IL | |
| - | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| - | IA |
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