Doctor profile · Federal record
Dr. JACOB KOSTELEC, PT, DPT
Physical Therapist (CMS: PHYSICAL THERAPIST IN PRIVATE PRACTICE) · GAINESVILLE, GA
- NPI 1558045062
- Accepts Medicare
- 3 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1640 JESSE JEWELL PKWY NE
GAINESVILLE, GA 305012561
(770) 536-9300
fax (770) 536-9389 - Mailing address
-
2400 WISTERIA DR STE A
SNELLVILLE, GA 300782689
Credentials & registration
- NPI registered
- June 2023 — 3 yrs on file
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 225100000X — NUCC code
- State license (1)
- Georgia #PT016615
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558045062. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
912
Distinct HCPCS
5
Medicare allowed
$24,165
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
97112 |
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 355 | 24 | $27 | |
97110 |
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 306 | 28 | $22 | |
97530 |
Therapy procedure using functional activities | 130 | 21 | $33 | |
97140 |
Therapy procedure using manual technique, each 15 minutes | 106 | 18 | $20 | |
97161 |
Evaluation for physical therapy, typically 20 minutes | 15 | 14 | $94 |
In context: peer comparison
Among 14 peers in this city , average services per provider: 390. This provider delivers 2.3× the peer median.