MAUREEN KOZLOW (PA-C) – Physician Assistant, NPI 1659040020
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MAUREEN KOZLOW (PA-C)
8558 BROADWAY
MERRILLVILLE, IN 464107032
Phone: (219) 392-7084
Type: Mailing
1500 S LAKE PARK AVE STE 110
HOBART, IN 463426638
Phone: (219) 947-6017
Fax: (219) 947-6018
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 106 Open Payments records for all available years, with a total value of $2,672.
Total Amount is formed as General ($2,672) + Research ($0) + Ownership ($0) = $2,672.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($323).
Total Amount
$2,672
General + Research + Ownership
Payments
106
Total payment records
General Amount
$2,672
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $323 |
| Amgen Inc. | $310 |
| Silk Road Medical, Inc. | $264 |
| Janssen Pharmaceuticals, Inc | $196 |
| Boston Scientific Corporation | $182 |
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: 2021-09-21
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 |
|---|---|---|---|---|
| I20210921001338 | I | Physician Assistant | IN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 286 | 170 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 14 | 14 | $0 |
Insurance plans in this area (ZIP 46410)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | IL | |
| Nurse Practitioner | IN | |
| - | IN | |
| Gynecological Oncology, Obstetrics/Gynecology | IN | |
| - | IN | |
| Nurse Practitioner | IN |
Reviews
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