Brian Richard Kosobucki (NPI# 1366548174, PAC ID# 2062435290) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1366548174 |
| PAC ID by PECOS | 2062435290 |
| Professional Enrollment ID | I20060113000116 |
| Full Name | Brian Richard Kosobucki |
| Address |
3333 Brookview Hills Blvd Suite 107 Winston Salem NC 27103-5661 |
| Gender | M |
| Credential | MD |
| Medical School | BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY |
| Graduation Year | 1998 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3333 Brookview Hills Blvd, Suite 107, Winston Salem, NC 27103-5661 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_019_overall | Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 77% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 77% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
3333 BROOKVIEW HILLS BLVD SUITE 107 |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27103-5661 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle G Obendorf | Physician Assistant | Cornerstone Health Care LLC | 3333 Brookview Hills Blvd, Winston Salem, NC 27103-5661 |
| Steven R Klein | Internal Medicine | Cornerstone Health Care LLC | 3333 Brookview Hills Blvd, Winston Salem, NC 27103-5661 |
| Patricia M Klein | Physician Assistant | Cornerstone Health Care LLC | 3333 Brookview Hills Blvd, Winston Salem, NC 27103-5661 |
| Max Joseph Vinograd | Physician Assistant | Cornerstone Health Care LLC | 3333 Brookview Hills Blvd, Winston Salem, NC 27103-5661 |
| Kimberly Dawn Ward | Nurse Practitioner | Cornerstone Health Care LLC | 3333 Brookview Hills Blvd, Suite 207, Winston Salem, NC 27103-5661 |
| Bruce Bennett | Family Medicine | Forsyth Memorial Hospital Inc | 3333 Brookview Hills Blvd, Suite 204, Winston Salem, NC 27103-5661 |
| Louis R Valente Ii | Physician Assistant | Cornerstone Health Care LLC | 3333 Brookview Hills Blvd, Winston Salem, NC 27103-5661 |
| Lauren Brooke Adams Gandhi | Dermatology | Forsyth Memorial Hospital Inc | 3333 Brookview Hills Blvd, Suite 204, Winston Salem, NC 27103-5661 |
| Julia Ju Yun Yu | Family Medicine | Forsyth Memorial Hospital Inc | 3333 Brookview Hills Blvd, Suite 204, Winston Salem, NC 27103-5661 |
| William Thomas Smith | Internal Medicine | Cornerstone Health Care LLC | 3333 Brookview Hills Blvd, Winston Salem, NC 27103-5661 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Predrag V Gligorovic | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| John G Spangler | Family Medicine | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Sahil Munjal | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Stephen I Kramer | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Gayathri D Tadepalli | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Patrick Smith | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| James N Kimball | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Katherine Atala | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Heather Douglas | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Adam Boiter | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Find all physicians in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | WINSTON SALEM + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Brian Richard Kosobucki.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.