DR. ROMAN N KOSIBOROD (D.O.) – Specialist, NPI 1831192079
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,668 ANESTHESIOLOGY in NJ
Provider Addresses for DR. ROMAN N KOSIBOROD (D.O.)
Vance Avenue, Franklin Lakes, Bergen County, New Jersey, 07417, United States of America
FRANKLIN LAKES, NJ 074173016
Phone: (201) 982-4706
Fax: (973) 246-7120
Type: Mailing
429 Crestwood Ave
Hackensack, NJ 076011444
Phone: (201) 342-5057
Type: Location
39-40 BROADWAY STE 1
FAIR LAWN, NJ 07410
Phone: (201) 509-8998
Fax: (973) 246-7120
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2023-12-16 • Largest payer in this snapshot: Medtronic, Inc. ($101).
Total Amount
$101
General + Research + Ownership
Payments
4
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $101 |
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: 2020-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040405001075 | I | Anesthesiology | NJ | TBD |
| I20200506002308 | I | Pain Management | OH | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 124 | 114 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 85 | 82 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 68 | 68 | $0 |
Insurance plans in this area (ZIP 07417)
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