SAMUEL ALEXANDER KOCIOLA – Surgery Physician, NPI 1467915587
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 GENERAL SURGERY in OH
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Provider Addresses for SAMUEL ALEXANDER KOCIOLA
Mount Carmel Grove City, 5300, North Meadows Drive, Grove City, Jackson Township, Ohio, 43123, United States
GROVE CITY, OH 431232546
Phone: (614) 663-4550
Fax: (614) 663-4555
Type: Location
5300 N Meadows Dr
Grove City, OH 431232546
Phone: (614) 663-4550
Fax: (614) 663-4555
Type: Location
500 MEDICAL ARTS BLDG STE 540
KITTANNING, PA 162017137
Phone: (724) 543-4942
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $2,818.
Total Amount is formed as General ($2,818) + Research ($0) + Ownership ($0) = $2,818.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,562).
Total Amount
$2,818
General + Research + Ownership
Payments
13
Total payment records
General Amount
$2,818
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $2,562 |
| CSL Behring | $174 |
| ABBVIE INC. | $83 |
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: 2024-08-23
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 |
|---|---|---|---|---|
| I20240823002244 | I | General Surgery | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Physician Assistant | PA | |
| P O D I A T R Y | PA | |
| - | PA | |
| General Surgery | PA | |
| General Surgery | PA | |
| Physician Assistant | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| O T O L A R Y N G O L O G Y | PA |
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