DR. MATTHEW NICHOLAS KOZICKI (M.D.) – Family Medicine Physician, NPI 1124330410
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for DR. MATTHEW NICHOLAS KOZICKI (M.D.)
PO BOX 40
BLAKESLEE, PA 186100040
Phone: (570) 646-8745
Type: Mailing
ROUTE 940 AND 115
BLAKESLEE, PA 18610
Phone: (570) 646-8745
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 372 Open Payments records for all available years, with a total value of $5,922.
Total Amount is formed as General ($5,922) + Research ($0) + Ownership ($0) = $5,922.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($637).
Total Amount
$5,922
General + Research + Ownership
Payments
372
Total payment records
General Amount
$5,922
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $637 |
| Novo Nordisk Inc | $483 |
| PFIZER INC. | $476 |
| Janssen Pharmaceuticals, Inc | $397 |
| ABBVIE INC. | $388 |
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: 2013-10-22
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 |
|---|---|---|---|---|
| I20131022000289 | I | Family Practice | 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.
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 | 819 | 430 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 582 | 337 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 399 | 399 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 297 | 297 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 146 | 146 | $0 |
Insurance plans in this area (ZIP 18610)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | PA | 20610 | Aspiration and/or injection of large joint or joint capsule | 31 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| General Surgery | PA | |
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| N E U R O L O G Y | PA | |
| - | PA | |
| Family Practice | PA |
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