Individual provider Active NPI

Caroll Dean Koscheski, M.D.

  • Gastroenterology Physician
  • Hickory, NC
National Provider Identifier
1316901515
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34374 Issued in NC
Practice address
415 N Center St
Suite 300
Hickory, NC 28601-5036
Phone
(828) 328-3300
Fax
(828) 328-9101
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34374 NC Primary

Addresses

Primary practice location

415 N Center St
Suite 300
Hickory, NC 28601-5036

Mailing address

415 N Center St
Ste. 300
Hickory, NC 28601-5057
Phone (828) 328-3300

Other identifiers 1

IdentifierTypeStateIssuer
8950171MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000987 NC Practitioner - Gastroenterology 0143322586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, shared by 2 NPIs, 133 clinicians

Practice addresses (Care Compare)

415 N Ctr St
Suite 300
Hickory, NC 28601-5036
Phone (828) 328-3300

Hospital & facility affiliations

  • Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143
  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy125
Upper gastrointestinal (GI) endoscopy for acid reflux79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34374NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group Inc Gastroenterology CurrentSince Jun 1, 2025 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
Catawba Valley Medical Group, Inc Current Accepting new patients
Catawba Valley Medical Group, Inc Past Accepting new patients

Locations

415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1316901515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST",
            "address_2": "STE. 300",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015057",
            "telephone_number": "828-328-3300",
            "fax_number": "828-328-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST",
            "address_2": "SUITE 300",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015036",
            "telephone_number": "828-328-3300",
            "fax_number": "828-328-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHESKI",
        "first_name": "CAROLL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "34374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8950171",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.