DR. JONATHAN ALLEN KORETOFF (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1346668779
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for DR. JONATHAN ALLEN KORETOFF (M.D.)
10505 SORRENTO VALLEY RD STE 200
SAN DIEGO, CA 921211619
Phone: (858) 793-7860
Type: Location
18411 CLARK ST STE 302
TARZANA, CA 913563541
Phone: (818) 501-7276
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $538.
Total Amount is formed as General ($538) + Research ($0) + Ownership ($0) = $538.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Radius Health, Inc. ($88).
Total Amount
$538
General + Research + Ownership
Payments
24
Total payment records
General Amount
$538
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180912003407 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 118 | 95 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 49 | $0 |
| 81003 | Automated urinalysis test | 14 | 13 | $0 |
Insurance plans in this area (ZIP 92121)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | CA | |
| Family Practice | CA | |
| Emergency Medicine | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | CA | |
| Sports Medicine, Family Practice | WA | |
| Physical Therapist In Private Practice | CA | |
| Family Practice | CA |
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