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Dr. Steven Edward Kossman, MD

Accepting New Patients

(3 Ratings)

Specializes in: Medical Oncology, Adult Oncology and Adult Hematology

Tulane University School of Medicine (1993)

Professional interests include: blood disorders, cancer, sickle cell disease, and more.

3075 Health Center Drive Suite 102
San Diego, CA 92123

(858) 637-7888

Dr. Steven Edward Kossman, MD is a medical oncologist in San Diego, CA specializing in medical oncology, adult oncology and adult hematology. He graduated from Tulane University School of Medicine in 1993 and has 33 years of experience. Dr. Steven Edward Kossman, MD is affiliated with Sharp Coronado Hospital, Sharp HealthCare, Scripps Memorial Hospital La Jolla, Scripps Health, Scripps Mercy Hospital Chula Vista, Sharp Memorial Hospital, MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO A MEDICAL GROUP INC, Scripps Mercy Hospital San Diego and Mercy Physicians Medical Group.

Office Locations

Sharp Memorial Hospital

3075 Health Center Drive Suite 102
San Diego, CA 92123

(858) 637-7888

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Sharp Memorial Hospital

5555 Reservoir Drive Suite 306
San Diego, CA 92120

(619) 287-9910

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Noteworthy Medicare Patient Procedures Performed by Dr. Steven Edward Kossman, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 10%

By Affordability:

blood draw

blood draw for lab tests

phlebotomy for lab tests

venipuncture

In 2023, Dr. Steven Edward Kossman, MD had a list price for blood draw, blood draw for lab tests, phlebotomy for lab tests, and venipuncture (phlebotomy) that was lower than the list prices billed to Medicare by 90% of providers in related specialties within California. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2012 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	351
blood draw	1268
chemotherapy	351
doctor visit	1330
hormone therapy	43
hospital care	69
inpatient care	69
lab tests	1717
minimally invasive procedures	417

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2013 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	325
blood draw	1288
chemotherapy	325
doctor visit	1198
hospital care	47
inpatient care	47
lab tests	2050
minimally invasive procedures	379

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	174
Female	208

**Ethnicity**
Non-Hispanic White	317
Black	0
Hispanic	24
Asian	19
Other	0
Native American	0

**Age**
From 65 to 74	142
From 75 to 84	130
85 and over	72
Less than 65	38

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2013

Hypertension	69
High Cholesterol	55
Stroke	4
Ischemic Heart Disease	45
Depression	18
Chronic Kidney Disease	25
Asthma	6
Osteoperosis	12
Atrial Fibrilation	12
Heart Failure	30
Chronic Obstructive Pulmonary Disease	20
Diabetes	33
Dementia	11
Cancer	42

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2014 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	412
blood draw	1368
bone marrow tests	12
chemotherapy	412
diagnostic procedures	12
doctor visit	1145
hospital care	31
inpatient care	31
lab tests	1663
minimally invasive procedures	461

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	171
Female	225

**Ethnicity**
Non-Hispanic White	324
Black	0
Hispanic	28
Asian	20
Other	0
Native American	0

**Age**
From 65 to 74	162
From 75 to 84	132
85 and over	63
Less than 65	39

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2014

Hypertension	66
High Cholesterol	54
Stroke	4
Ischemic Heart Disease	40
Depression	17
Chronic Kidney Disease	24
Asthma	10
Osteoperosis	13
Atrial Fibrilation	12
Heart Failure	29
Chronic Obstructive Pulmonary Disease	18
Diabetes	28
Dementia	10
Cancer	41

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2015 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	391
blood draw	1128
bone marrow tests	15
chemotherapy	391
diagnostic procedures	15
doctor visit	985
hospital care	70
inpatient care	70
lab tests	1154
minimally invasive procedures	453

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	380
Female	400

**Ethnicity**
Non-Hispanic White	676
Black	0
Hispanic	34
Asian	32
Other	0
Native American	0

**Age**
From 65 to 74	316
From 75 to 84	272
85 and over	144
Less than 65	48

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2015

Hypertension	67
High Cholesterol	51
Stroke	3
Ischemic Heart Disease	43
Depression	14
Chronic Kidney Disease	28
Asthma	13
Osteoperosis	14
Atrial Fibrilation	13
Heart Failure	33
Chronic Obstructive Pulmonary Disease	17
Diabetes	28
Dementia	8
Cancer	42

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2016 were lab tests, blood draw, chemotherapy and biological response modifier (BRM) therapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	584
blood draw	1526
chemotherapy	584
doctor visit	1099
hormone therapy	34
hospital care	109
inpatient care	109
lab tests	1646
minimally invasive procedures	542

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	215
Female	221

**Ethnicity**
Non-Hispanic White	381
Black	15
Hispanic	22
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	184
From 75 to 84	158
85 and over	76
Less than 65	18

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2016

Hypertension	70
High Cholesterol	55
Stroke	5
Ischemic Heart Disease	45
Depression	13
Chronic Kidney Disease	31
Asthma	22
Osteoperosis	12
Atrial Fibrilation	12
Heart Failure	35
Chronic Obstructive Pulmonary Disease	22
Diabetes	30
Dementia	11
Cancer	37

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2017 were lab tests, blood draw, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	345
blood draw	1207
chemotherapy	345
doctor visit	939
hospital care	79
inpatient care	79
lab tests	1332
minimally invasive procedures	489

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	206
Female	214

**Ethnicity**
Non-Hispanic White	370
Black	0
Hispanic	15
Asian	14
Other	0
Native American	0

**Age**
From 65 to 74	193
From 75 to 84	144
85 and over	62
Less than 65	21

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2017

Hypertension	67
High Cholesterol	46
Stroke	5
Ischemic Heart Disease	41
Depression	14
Chronic Kidney Disease	28
Asthma	11
Osteoperosis	14
Atrial Fibrilation	12
Heart Failure	29
Chronic Obstructive Pulmonary Disease	18
Diabetes	30
Dementia	10
Cancer	38

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2018 were blood draw, lab tests, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	368
blood draw	1012
chemotherapy	368
doctor visit	997
hormone therapy	40
hospital care	26
inpatient care	26
lab tests	844
minimally invasive procedures	439

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	214
Female	224

**Ethnicity**
Non-Hispanic White	381
Black	13
Hispanic	21
Asian	11
Other	12
Native American	0

**Age**
From 65 to 74	193
From 75 to 84	166
85 and over	63
Less than 65	16

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2018

Hypertension	66
High Cholesterol	55
Stroke	3
Ischemic Heart Disease	43
Depression	16
Chronic Kidney Disease	28
Asthma	9
Osteoperosis	16
Atrial Fibrilation	12
Heart Failure	31
Chronic Obstructive Pulmonary Disease	16
Diabetes	30
Dementia	9
Cancer	36

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2019 were blood draw, lab tests, minimally invasive procedures and chemotherapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	415
blood draw	909
chemotherapy	415
doctor visit	1004
hospital care	40
inpatient care	40
lab tests	684
minimally invasive procedures	500
port flush	64

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	209
Female	215

**Ethnicity**
Non-Hispanic White	367
Black	0
Hispanic	22
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	185
From 75 to 84	163
85 and over	56
Less than 65	20

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2019

Hypertension	65
High Cholesterol	61
Stroke	4
Ischemic Heart Disease	43
Depression	17
Chronic Kidney Disease	33
Asthma	9
Osteoperosis	18
Atrial Fibrilation	13
Heart Failure	28
Chronic Obstructive Pulmonary Disease	17
Diabetes	28
Dementia	10
Cancer	39

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2020 were blood draw, minimally invasive procedures, chemotherapy and biological response modifier (BRM) therapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	396
blood draw	775
chemotherapy	396
doctor visit	821
minimally invasive procedures	457
port flush	113

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	207
Female	175

**Ethnicity**
Non-Hispanic White	341
Black	0
Hispanic	14
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	163
From 75 to 84	154
85 and over	51
Less than 65	14

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2020

Hypertension	63
High Cholesterol	58
Stroke	3
Ischemic Heart Disease	43
Depression	15
Chronic Kidney Disease	32
Asthma	9
Osteoperosis	15
Atrial Fibrilation	12
Heart Failure	30
Chronic Obstructive Pulmonary Disease	13
Diabetes	31
Dementia	11
Cancer	40

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2021 were blood draw, minimally invasive procedures, chemotherapy and biological response modifier (BRM) therapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	269
blood draw	839
chemotherapy	269
doctor visit	828
minimally invasive procedures	346
port flush	61

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	201
Female	185

**Ethnicity**
Non-Hispanic White	331
Black	13
Hispanic	19
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	139
From 75 to 84	172
85 and over	61
Less than 65	14

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2021

Hypertension	66
High Cholesterol	60
Stroke	5
Ischemic Heart Disease	43
Depression	18
Chronic Kidney Disease	34
Asthma	9
Osteoperosis	18
Atrial Fibrilation	12
Heart Failure	27
Chronic Obstructive Pulmonary Disease	13
Diabetes	32
Dementia	11
Cancer	37

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA during 2022 were blood draw, minimally invasive procedures, chemotherapy and biological response modifier (BRM) therapy.

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

biological response modifier (BRM) therapy	170
blood draw	686
chemotherapy	170
doctor visit	851
minimally invasive procedures	242
port flush	39

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	205
Female	203

**Ethnicity**
Non-Hispanic White	356
Black	0
Hispanic	18
Asian	0
Other	17
Native American	0

**Age**
From 65 to 74	143
From 75 to 84	187
85 and over	64
Less than 65	14

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	33
Depression	16
Chronic Kidney Disease	29
Asthma	15
Osteoperosis	23
Atrial Fibrilation	21
Heart Failure	20
Chronic Obstructive Pulmonary Disease	15
Diabetes	33
Dementia	6
Cancer	39

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Steven Edward Kossman, MD for Medicare patients.

The highest averages for the top procedures that Dr. Steven Edward Kossman, MD treated as a medical oncologist in San Diego, CA were lab tests, blood draw, minimally invasive procedures and chemotherapy.

biological response modifier (BRM) therapy	366
blood draw	1091
bone marrow tests	13
chemotherapy	366
diagnostic procedures	13
doctor visit	1017
hormone therapy	39
hospital care	58
inpatient care	58
lab tests	1386
minimally invasive procedures	429

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Steven Edward Kossman, MD.

**Gender**
Male	198
Female	206

**Ethnicity**
Black / African American	3
Asian / Pacific Islander	8
Non-Hispanic White	349
Native American / Alaskan Native	0
Hispanic	19
Other	4

**Age**
75 to 84	152
85 and over	64
Less than 65	22
65 to 74	165

Average of Total of Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Steven Edward Kossman, MD treated were hypertension, high cholesterol, ischemic heart disease and cancer.

Hypertension	61
High Cholesterol	51
Stroke	3
Ischemic Heart Disease	38
Depression	14
Chronic Kidney Disease	26
Asthma	10
Osteoporosis	14
Heart Failure	26
Chronic Obstructive Pulmonary Disease	15
Diabetes	27
Atrial Fibrillation	11
Dementia	8
Cancer	35

Education & Training

Dr. Steven Edward Kossman, MD graduated from Tulane University School of Medicine in 1993. He completed residency at Vanderbilt University Medical Center. He is certified by the American Board of Internal Medicine, Medical Oncology and has a state license in California.

Medical School: Tulane University School of Medicine (1993)

Residency: Vanderbilt University Medical Center (1996)

Board Certification: American Board of Internal Medicine, Medical Oncology (1999)

Licensed In: California

Affiliations & Hospitals

Dr. Steven Edward Kossman, MD is associated with these hospitals and organizations:

Sharp Coronado Hospital

Sharp HealthCare

Scripps Memorial Hospital La Jolla

Scripps Health

Scripps Mercy Hospital Chula Vista

Sharp Memorial Hospital

MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO A MEDICAL GROUP INC

Scripps Mercy Hospital San Diego

Mercy Physicians Medical Group

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Steven Edward Kossman, MD appears to accept the following insurance providers: Cigna, TRICARE, Aetna, Medi-Cal, Self-Pay/Uninsured, Blue Shield of California, Molina Healthcare, UnitedHealthcare, Sharp Health Plan, Anthem, Health Net, Medicare and Humana.

Insurance Accepted by Provider includes:

According to our sources, Dr. Steven Edward Kossman, MD accepts the following insurance providers:

Cigna

TRICARE

Aetna

Medi-Cal

Self-Pay/Uninsured

Blue Shield of California

Molina Healthcare

UnitedHealthcare

Sharp Health Plan

Anthem

Health Net

Medicare

Humana

Ratings & Reviews

Dr. Steven Edward Kossman, MD has a high overall rating with an average of 3.67 out of 5 stars based on 3 ratings. We collect ratings and reviews of Dr. Steven Edward Kossman, MD from all over the web to help you find the right in San Diego, CA.

3.67

Overall Rating

(3 Ratings)

Leave a Review

Reviews Left On DocSpot

Overall Rating: 5.0 2025-12-08

I have been treated by Dr. Kossman and his staff for almost one year, with about 50 visits. He is a caring and competent physician. He takes a much time as I need to ensure i fully understnd my treatment, current evaluation, and future plans. His staff are amazing and have treated me with not only with kindness and respect but also with honesty.

Overall Rating: 5.0 2023-11-26

Taking great care of me. Concerned with how I'm feeling. Easy to talk to. Put plan in place and it is working. Staff is very helpful.

Overall Rating: 1.0 2015-05-30

Lack bedside manners, offensive. The first time I went to see him, he just wanted to know my personal information.  He barely discuss about the type of cancer I had. He was rude and sarcastic when I could not  identify the specific type of cancer I had. I never had any problem with my previous oncologist , but unfortunately I have to change insurance plan through work. He is the first oncologist who made me feel stupid that I don't know what type of illness I had.

Second time I went to see him I almost walked out. He had me yank my pants while he was inside the room with me instead of leaving in the room and give me moment to cover myself up. Instead he sarcastically commented why do you ladies have to be shy, that he is a doctor and is used too this stuff. I was so furious. The next time I saw my primary doctor I told him I never wanted to see Dr. S. Kossman again.. Never ever!!!

General Payments

These charts describe general payments received by Dr. Steven Edward Kossman, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Astellas Pharma US Inc	$300 $300
Pharmacyclics LLC, An AbbVie Company	$99 IMBRUVICA $99
E.R. Squibb & Sons, L.L.C.	$46 OPDIVO $32	Reblozyl $14
Daiichi Sankyo Inc.	$36 Enhertu $36
Exelixis Inc.	$18 Cabometyx $18
Other	$15 IMBRUVICA $15

**Types of Payments**
Education	$417
Food and Beverage	$97

Research Payments

Dr. Steven Edward Kossman, MD has received 2 research payments totaling $11,044.

Biography

Dr. Steven Kossman practices adult hematology, adult oncology, and medical oncology in San Diego, CA. He obtained his medical school training at Tulane University School of Medicine and performed his residency at Vanderbilt University Medical Center. His areas of expertise include hospice (end-of-life care), second opinions, and sickle cell disease. Patient ratings for Dr. Kossman average 3.5 stars (out of 5). Anthem, UnitedHealthcare, and Blue California seem to be the insurance carriers that Dr. Kossman accepts. He is conversant in Spanish. Dr. Kossman's professional affiliations include Scripps Memorial Hospital La Jolla, Sharp Coronado Hospital, and Sharp Memorial Hospital. According to Sharp HealthCare, he is currently accepting new patients at his office in San Diego, CA.

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Dr. Steven Edward Kossman, MD

Office Locations

Noteworthy Medicare Patient Procedures Performed by Dr. Steven Edward Kossman, MD in 2023

By Affordability:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD in 2022

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Average Medicare Patient Data From 2012 - 2022

Average of Total of Conditions of Medicare patients treated by Dr. Steven Edward Kossman, MD From 2012 - 2022

Education & Training

Affiliations & Hospitals

Insurance Information

Ratings & Reviews

General Payments

Research Payments

Biography

Other Providers in San Diego, CA