PAUL J KOSTUCHENKO MD NPI 1972591055

NPI Information

  • NPI: 1972591055
  • Provider Name: PAUL J KOSTUCHENKO, MD
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1345 WESTGATE CENTER DR STE B
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 768-1280

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NPI Details

Paul J Kostuchenko, MD is a dermatopathology dermatology in Winston Salem, NC with 27 years of experience. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. Paul J Kostuchenko, MD NPI is 1972591055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

1345 WESTGATE CENTER DR STE B
WINSTON SALEM, NC
ZIP 27103-041
Phone: (336) 768-1280
Fax: (336) 760-8443

The NPI 1972591055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 10/12/2005 and was last updated on 4/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathology200400056NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I09407MEDICARE UPINNORTH CAROLINA
2Q0005FMEDICAIDSOUTH CAROLINA
32026585AMEDICARE PINNORTH CAROLINA
489136R2MEDICAIDNORTH CAROLINA
52026585MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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