Alexandra Marion Pamela Kostick, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME63389 Issued in FL

Practice address

1051 Ocean Shore Blvd Apt 202
Ormond Beach, FL 32176-4179

Phone

(386) 679-7025

Fax

(386) 441-2564

NPI assigned

Oct 25, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MO

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1215927702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 OCEAN SHORE BLVD APT 202",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321764179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 OCEAN SHORE BLVD APT 202",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321764179",
            "telephone_number": "386-679-7025",
            "fax_number": "386-441-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTICK",
        "first_name": "ALEXANDRA",
        "middle_name": "MARION PAMELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MO",
            "license": "107827",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME63389",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME63389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250999700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Koontz, RCSWI
• Krista Marie Koppenberger, PA-C
• John Korfant
• Marciley Korfant
• Matthew Kostecky
• Kosyak Consulting
• Tatiana E Kosyak, RPH, CPH
• Gwen H Kotler, MSW,LCSW
• Thomas Krajewski, MD
• Angela Weber Kramer, SLP

• Ophthalmology Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.