DR. WILLIAM ROBERT KOSSOL (OD) – Optometrist, NPI 1649266248

DR. WILLIAM ROBERT KOSSOL (OD) is a healthcare provider. based in Fredericksburg, Virginia. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 0601001281 (VA). The NPI Number for DR. WILLIAM ROBERT KOSSOL (OD) is 1649266248

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM ROBERT KOSSOL (OD)
NPI
1649266248
Phone
(540) 785-3937
Address
12100 KENNEDY LN
Enumeration Date
20 September 2005
Deactivation Date
23 March 2006
Reactivation Date
5 April 2006
Last Update Date
18 December 2009

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
5407853937
Graduation Year
1985 (41 years ago)
PAC ID
9931159837
Group Practice PAC ID
5597715490
Professional Enrollment ID
I20051110000948
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. WILLIAM ROBERT KOSSOL (OD)

  • 12100, Kennedy Lane, Salem Church, Fredericksburg, Spotsylvania County, Virginia, 22407, United States

    #206

    FREDERICKSBURG, VA 224076760

    Phone: (540) 785-3937

    Fax: (540) 785-5498

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: ABBVIE INC. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$27
View all Open Payments →|Open Payments Risk Radar →

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: 2005-11-10

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
I20051110000948IOptometryVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22407)

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Provider's Procedures

DR. WILLIAM ROBERT KOSSOL (OD) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYVA92134Diagnostic imaging of retina1918

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: 5597715490View full group profile
NameSpecialtyState
O P T O M E T R YVA
O P T O M E T R YVA

Reviews

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Frequently asked questions

Where can patients find DR. WILLIAM ROBERT KOSSOL (OD)'s NPI?
You can confirm DR. WILLIAM ROBERT KOSSOL (OD) with NPI 1649266248; it appears in the national provider directory.
Is DR. WILLIAM ROBERT KOSSOL (OD) currently active in the NPI registry?
CMS-published data lists DR. WILLIAM ROBERT KOSSOL (OD) as an active registrant.
Can you summarize DR. WILLIAM ROBERT KOSSOL (OD)'s specialty in plain language?
Clinically, the directory lists DR. WILLIAM ROBERT KOSSOL (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. WILLIAM ROBERT KOSSOL (OD)?
The page summarizes Fredericksburg, Virginia for DR. WILLIAM ROBERT KOSSOL (OD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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