Doctor profile · Federal record
Dr. SEAN KOSTOLANSKY, D.O.
Emergency Medicine Physician (CMS: EMERGENCY MEDICINE) · Emergency Medicine Physician · SPRINGFIELD, IL
- NPI 1871976548
- Accepts Medicare
- MIPS 98.4 / 100 · 2023
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
701 N 1ST
SPRINGFIELD, IL 62702
(217) 545-3518 - Mailing address
-
PO BOX 19638
SPRINGFIELD, IL 627949638
Credentials & registration
- NPI registered
- June 2015 — 11 yrs on file
- Profile last updated
- June 14, 2019
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State licenses (2)
- Illinois #036145850 · Illinois #125.066840
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1871976548. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
737
Distinct HCPCS
4
Medicare allowed
$96,417
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 360 | 336 | $185 | |
93042 |
Electrocardiogram (ecg) 1 to 3 leads with review by physician only | 228 | 218 | $7 | |
99291 |
Critical care, first 30-74 minutes | 96 | 94 | $224 | |
99284 |
Emergency department visit with moderate level of medical decision making | 53 | 50 | $127 |
In context: peer comparison
Among 33 peers in this city , average services per provider: 105. This provider delivers 7.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
36
Patients
36
Total drug cost
$188
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 20 | 20 | $112 |
| Cephalexin | Generic | 16 | 16 | $76 |