Debra Dianne Kosko, N.P.
NPI 1275588097ActiveIndividual· Nurse Practitioner, Acute Care· Rochester, NY
Nurse Practitioner, Acute Care (N.P.) with Rochester General Hospital and 1 other group, practicing in Rochester, New York. Their prescriptions cost Medicare Part D more than their services did: $2,319,755 for 928 claims, against $10,479 paid for services in 2024. Merck Sharp & Dohme LLC was the largest of 12 companies reporting payments in 2025, $560.12 in all, mostly food and beverage. Lists Rochester General Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1275588097 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | N.P. |
| Sole proprietor | No |
| NPI issued | May 23, 2006 |
| Last updated in NPPES | Nov 27, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 370018 | NY |
| Nurse Practitioner | 363L00000X | 370018 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 166 across 4 procedure codes |
| Paid by Medicare | $10,479 |
Part D prescriptions in 2024
| Prescriptions (claims) | 928 · 1,275 30-day fills |
|---|---|
| Patients | 263 |
| Total drug cost | $2,319,755 |
| Generic share | 73% of claims |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Rochester General HospitalRochester, NY · 1,182 clinicians
- United Memorial Medical CenterBatavia, NY · 279 clinicians
Hospital affiliations
- Rochester General HospitalRochester, NY
- United Memorial Medical CenterBatavia, NY
Industry payments (Open Payments)
- 2025$560.12 · 24 payments from 12 companies
- 2024$219.26 · 10 payments from 4 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $184.09 | 9 |
| Janssen Biotech, Inc. | $98.34 | 3 |
| Pfizer Inc. | $59.46 | 2 |
| Beone Medicines USA, Inc. | $39.76 | 1 |
| Tempus Ai, Inc | $30.23 | 2 |
What the 2025 payments were for
- Food and Beverage$560.12 · 24 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 197 acute care nurse practitioners in Rochester · All acute care nurse practitioners in New York