DR. JON K KOSTELIC (M.D.) – Diagnostic Radiology Physician, NPI 1700842275
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
598 DIAGNOSTIC RADIOLOGY in KY
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Provider Addresses for DR. JON K KOSTELIC (M.D.)
1218, South Broadway, South Broadway Park, Lexington, Fayette County, Kentucky, 40504, United States
SUITE 310
LEXINGTON, KY 405042759
Phone: (859) 219-0542
Fax: (859) 219-9433
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-01-30
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 |
|---|---|---|---|---|
| I20040130000612 | I | Diagnostic Radiology | KY | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 2,191 | 1,483 | $0 |
| 71046 | X-ray of chest, 2 views | 884 | 839 | $0 |
| 70450 | Ct scan head or brain without contrast | 471 | 453 | $0 |
| 74018 | X-ray of abdomen, 1 view | 311 | 261 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 295 | 291 | $0 |
Insurance plans in this area (ZIP 40504)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | KY | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 19 | 17 |
| DIAGNOSTIC RADIOLOGY | KY | 71250 | CT scan chest | 178 | 176 |
| DIAGNOSTIC RADIOLOGY | KY | 73110 | X-ray of wrist, minimum of 3 views | 13 | 11 |
| DIAGNOSTIC RADIOLOGY | KY | 73630 | X-ray of foot, minimum of 3 views | 25 | 22 |
| DIAGNOSTIC RADIOLOGY | KY | 74177 | CT scan of abdomen and pelvis with contrast | 15 | 15 |
| DIAGNOSTIC RADIOLOGY | KY | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 59 | 57 |
| DIAGNOSTIC RADIOLOGY | KY | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 13 | 13 |
| DIAGNOSTIC RADIOLOGY | KY | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 90 | 90 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KY | |
| - | KY | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| - | CA | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | IA |
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