DR. MARK RYAN KOZAK (MD) – Pediatrics Physician, NPI 1205878667
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MARK RYAN KOZAK (MD)
West Panther Creek Drive, Panther Creek, The Woodlands, Montgomery County, Texas, 77381, United States
THE WOODLANDS, TX 773812568
Phone: (813) 648-6002
Fax: (281) 298-2005
Type: Mailing
2255 E MOSSY OAKS RD STE 500
SPRING, TX 773891813
Phone: (281) 440-5300
Type: Mailing
26940 KUYKENDAHL RD
TOMBALL, TX 773753515
Phone: (281) 440-5300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $544.
Total Amount is formed as General ($544) + Research ($0) + Ownership ($0) = $544.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Corium, LLC ($189).
Total Amount
$544
General + Research + Ownership
Payments
22
Total payment records
General Amount
$544
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $189 |
| Tris Pharma Inc | $125 |
| Supernus Pharmaceuticals, Inc. | $64 |
| Cranial Technologies, Inc | $54 |
| SANOFI PASTEUR INC. | $30 |
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: 2004-07-28
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 |
|---|---|---|---|---|
| I20040728001484 | I | Pediatric Medicine | TX | 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 77381)
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