DR. CHARLES A KOSYDAR (MD) – Diagnostic Radiology Physician, NPI 1124221783

DR. CHARLES A KOSYDAR (MD) is a healthcare provider. based in Portland, Oregon. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 60208164 (WA). The NPI Number for DR. CHARLES A KOSYDAR (MD) is 1124221783

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES A KOSYDAR (MD)
NPI
1124221783
Phone
Not provided
Address
9400 SW BARNES RD
Enumeration Date
8 June 2007
Last Update Date
27 February 2024

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032168400
Graduation Year
2007 (19 years ago)
PAC ID
5991952111
Group Practice PAC ID
3173670411
Professional Enrollment ID
I20170627000963
Address ID
OR972247259TI18040RDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

532 DIAGNOSTIC RADIOLOGY in OR

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Provider Addresses for DR. CHARLES A KOSYDAR (MD)

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97221, United States

    SUITE 150

    PORTLAND, OR 972256608

    Phone:

    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: 2017-06-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170627000963IDiagnostic RadiologyORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
A9585Injection, gadobutrol, 0.1 ml1,58519$0
71046X-ray of chest, 2 views681664$0
71045X-ray of chest, 1 view574513$0
71250Ct scan of chest without contrast178174$0
70450Ct scan head or brain without contrast138133$0
View full utilization report →

Insurance plans in this area (ZIP 97225)

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Provider's Procedures

DR. CHARLES A KOSYDAR (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOR71010X-ray of chest, 1 view, front887461
DIAGNOSTIC RADIOLOGYOR71250CT scan chest1616
DIAGNOSTIC RADIOLOGYOR73630X-ray of foot, minimum of 3 views1919
DIAGNOSTIC RADIOLOGYOR93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers3835

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173670411View full group profile
NameSpecialtyState
-OR
Diagnostic RadiologyOR
Diagnostic RadiologyTN
Diagnostic RadiologyOR
Diagnostic RadiologyMO
Interventional Radiology, Diagnostic RadiologyPA
Diagnostic RadiologyOR
Diagnostic RadiologyOR
-OR
Diagnostic RadiologyOR

Reviews

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Frequently asked questions

Is DR. CHARLES A KOSYDAR (MD) listed with a National Provider Identifier?
Yes — DR. CHARLES A KOSYDAR (MD) has NPI 1124221783 on file in the registry.
Would DR. CHARLES A KOSYDAR (MD) appear as active to a payer?
You can treat DR. CHARLES A KOSYDAR (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. CHARLES A KOSYDAR (MD)?
DR. CHARLES A KOSYDAR (MD)'s record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. CHARLES A KOSYDAR (MD)?
Travel planning: use Portland, Oregon as the reference point for DR. CHARLES A KOSYDAR (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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